Birth And Fetal Death (BFDR) FHIR Implementation Guide
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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 - Final Route and Method of Delivery

Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery Version: 2.0.0
Standards status: Draft Computable Name: ProcedureFinalRouteMethodDelivery
Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.94

This profile represents the final route and method of delivery.

IJE Mapping

Natality
Use Case # Description IJE Name Field Type Value Set/Comments
Natality 193 Method of Delivery--Route and Method of Delivery ROUT code codeable DeliveryRoutesVS unless unknown,
See note on missing method of delivery data

Fetal Death
Use Case # Description IJE Name Field Type Value Set/Comments
Fetal Death 134 Method of Delivery--Route and Method of Delivery ROUT code codeable DeliveryRoutesVS unless unknown,
See note on missing method of delivery data

Form Mapping

Form Mapping
Item # Form Field FHIR Profile Field Reference
46.D Final route and method of delivery code Certificate of Live Birth
27.D Method of delivery: Final route and method of delivery code Facility Worksheet for the Live Birth Certificate
27.D Method of delivery: Final route and method of delivery code Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births
38.D Method of Delivery: Final route and method of delivery code Report of Fetal Death
17.B Method of Delivery: Final route and method of delivery code Facility Worksheet for the Report of Fetal Death

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
Constraints: us-core-7
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.status This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
Procedure.category This element is included in summaries. 1..1 CodeableConcept Final route and method of delivery [US Standard Certificate of Live Birth]
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "73762-7"
    }
  ]
}
Procedure.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The value set contains the list of the possible routes by which the infant or fetus may be delivered.
Binding: Delivery Routes (required): Delivery Routes (NCHS)
Procedure.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient - Mother Vital Records) Who the procedure was performed on
Procedure.performed[x] This element must be supported. This element is included in summaries. C 0..1 When the procedure was performed
Procedure.performed[x].performedDateTime dateTime This target must be supported.
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.reasonReference This element is included in summaries. 0..* Reference(Observation - Labor Trial Attempted) If cesarean, was a trial of labor attempted?

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📦4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base required Delivery Routes 📦2.0.0 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from USCoreProcedureProfile

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure 0..* USCoreProcedureProfile An action that is being or was performed on a patient
Procedure.category 1..1 CodeableConcept Final route and method of delivery [US Standard Certificate of Live Birth]
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "73762-7"
    }
  ]
}
Procedure.code 1..1 CodeableConcept The value set contains the list of the possible routes by which the infant or fetus may be delivered.
Binding: Delivery Routes (required): Delivery Routes (NCHS)
Procedure.subject 1..1 Reference(Patient - Mother Vital Records) Who the procedure was performed on

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base required Delivery Routes 📦2.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
Constraints: us-core-7
Procedure.id This element is included in summaries. 0..1 id Logical id of this artifact
Procedure.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Procedure.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
Procedure.contained 0..* Resource Contained, inline Resources
Procedure.extension 0..* Extension Additional content defined by implementations
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.identifier This element is included in summaries. 0..* Identifier External Identifiers for this procedure
Procedure.instantiatesCanonical This element is included in summaries. 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
Procedure.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
Procedure.basedOn This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
Procedure.partOf This element is included in summaries. 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
Procedure.status This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
Procedure.statusReason This element is included in summaries. 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
Procedure.category This element is included in summaries. 1..1 CodeableConcept Final route and method of delivery [US Standard Certificate of Live Birth]
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "73762-7"
    }
  ]
}
Procedure.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The value set contains the list of the possible routes by which the infant or fetus may be delivered.
Binding: Delivery Routes (required): Delivery Routes (NCHS)
Procedure.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient - Mother Vital Records) Who the procedure was performed on
Procedure.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of
Procedure.performed[x] This element must be supported. This element is included in summaries. C 0..1 When the procedure was performed
Procedure.performed[x].performedDateTime dateTime This target must be supported.
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.recorder This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
Procedure.asserter This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
Procedure.performer This element is included in summaries. 0..* BackboneElement The people who performed the procedure
Procedure.performer.id 0..1 string Unique id for inter-element referencing
Procedure.performer.extension 0..* Extension Additional content defined by implementations
Procedure.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.performer.function This element is included in summaries. 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
Procedure.performer.actor This element is included in summaries. 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
Procedure.performer.onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
Procedure.location This element is included in summaries. 0..1 Reference(Location) Where the procedure happened
Procedure.reasonCode This element is included in summaries. 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Procedure.reasonReference This element is included in summaries. 0..* Reference(Observation - Labor Trial Attempted) If cesarean, was a trial of labor attempted?
Procedure.bodySite This element is included in summaries. 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Procedure.outcome This element is included in summaries. 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
Procedure.report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
Procedure.complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
Procedure.complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
Procedure.followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
Procedure.note 0..* Annotation Additional information about the procedure
Procedure.focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
Procedure.focalDevice.id 0..1 string Unique id for inter-element referencing
Procedure.focalDevice.extension 0..* Extension Additional content defined by implementations
Procedure.focalDevice.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.focalDevice.action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
Procedure.focalDevice.manipulated 1..1 Reference(Device) Device that was changed
Procedure.usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
Procedure.usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📦4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📦4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base required Delivery Routes 📦2.0.0 This IG
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📦4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
Constraints: us-core-7
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.status This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
Procedure.category This element is included in summaries. 1..1 CodeableConcept Final route and method of delivery [US Standard Certificate of Live Birth]
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "73762-7"
    }
  ]
}
Procedure.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The value set contains the list of the possible routes by which the infant or fetus may be delivered.
Binding: Delivery Routes (required): Delivery Routes (NCHS)
Procedure.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient - Mother Vital Records) Who the procedure was performed on
Procedure.performed[x] This element must be supported. This element is included in summaries. C 0..1 When the procedure was performed
Procedure.performed[x].performedDateTime dateTime This target must be supported.
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.reasonReference This element is included in summaries. 0..* Reference(Observation - Labor Trial Attempted) If cesarean, was a trial of labor attempted?

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📦4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base required Delivery Routes 📦2.0.0 This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from USCoreProcedureProfile

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure 0..* USCoreProcedureProfile An action that is being or was performed on a patient
Procedure.category 1..1 CodeableConcept Final route and method of delivery [US Standard Certificate of Live Birth]
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "73762-7"
    }
  ]
}
Procedure.code 1..1 CodeableConcept The value set contains the list of the possible routes by which the infant or fetus may be delivered.
Binding: Delivery Routes (required): Delivery Routes (NCHS)
Procedure.subject 1..1 Reference(Patient - Mother Vital Records) Who the procedure was performed on
Procedure.reasonReference 0..* Reference(Observation - Labor Trial Attempted) If cesarean, was a trial of labor attempted?

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base required Delivery Routes 📦2.0.0 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
Constraints: us-core-7
Procedure.id This element is included in summaries. 0..1 id Logical id of this artifact
Procedure.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Procedure.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
Procedure.contained 0..* Resource Contained, inline Resources
Procedure.extension 0..* Extension Additional content defined by implementations
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.identifier This element is included in summaries. 0..* Identifier External Identifiers for this procedure
Procedure.instantiatesCanonical This element is included in summaries. 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
Procedure.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
Procedure.basedOn This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
Procedure.partOf This element is included in summaries. 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
Procedure.status This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
Procedure.statusReason This element is included in summaries. 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
Procedure.category This element is included in summaries. 1..1 CodeableConcept Final route and method of delivery [US Standard Certificate of Live Birth]
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "73762-7"
    }
  ]
}
Procedure.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The value set contains the list of the possible routes by which the infant or fetus may be delivered.
Binding: Delivery Routes (required): Delivery Routes (NCHS)
Procedure.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient - Mother Vital Records) Who the procedure was performed on
Procedure.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of
Procedure.performed[x] This element must be supported. This element is included in summaries. C 0..1 When the procedure was performed
Procedure.performed[x].performedDateTime dateTime This target must be supported.
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.recorder This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
Procedure.asserter This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
Procedure.performer This element is included in summaries. 0..* BackboneElement The people who performed the procedure
Procedure.performer.id 0..1 string Unique id for inter-element referencing
Procedure.performer.extension 0..* Extension Additional content defined by implementations
Procedure.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.performer.function This element is included in summaries. 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
Procedure.performer.actor This element is included in summaries. 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
Procedure.performer.onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
Procedure.location This element is included in summaries. 0..1 Reference(Location) Where the procedure happened
Procedure.reasonCode This element is included in summaries. 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Procedure.reasonReference This element is included in summaries. 0..* Reference(Observation - Labor Trial Attempted) If cesarean, was a trial of labor attempted?
Procedure.bodySite This element is included in summaries. 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Procedure.outcome This element is included in summaries. 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
Procedure.report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
Procedure.complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
Procedure.complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
Procedure.followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
Procedure.note 0..* Annotation Additional information about the procedure
Procedure.focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
Procedure.focalDevice.id 0..1 string Unique id for inter-element referencing
Procedure.focalDevice.extension 0..* Extension Additional content defined by implementations
Procedure.focalDevice.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.focalDevice.action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
Procedure.focalDevice.manipulated 1..1 Reference(Device) Device that was changed
Procedure.usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
Procedure.usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📦4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📦4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base required Delivery Routes 📦2.0.0 This IG
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📦4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

 

Other representations of profile: CSV, Excel, Schematron