  0 Table of Contents |
  1 Birth and Fetal Death Reporting Home |
| 2 Content Transitions |
| 3 Data Dictionary Natality |
| 4 Data Dictionary Fetal Death |
| 5 Appendices |
| 6 Facility Worksheet for Live Birth |
| 7 Example Live Birth Certificate |
| 8 Facility Worksheet for Fetal Death |
| 9 Example Fetal Death Report |
| 10 Change Log |
| 11 Patient Worksheet Questionnaires |
| 12 Specification |
| 13 Use Cases |
| 14 Vital Records Form Mapping |
| 15 Mapping Electronic Health Record Data to the Birth and Fetal Death Record Data Elements |
| 16 Downloads |
| 17 FHIR Implementation Guide Harmonization Plan |
| 18 Usage |
| 19 Use of Categories |
| 20 Live Birth Report Example - Baby G Quinn |
| 21 Fetal Death Report Example - Not Named |
| 22 Credits |
 23 Artifacts Summary |
 23.1 CapabilityStatement - Birth and Fetal Death |
| 23.2 Bundle - Document Birth Report |
| 23.3 Bundle - Document Fetal Death Report |
| 23.4 Bundle - Document Demographic Coded Content |
| 23.5 Bundle - Document Coded Cause of Fetal Death |
| 23.6 Bundle - Document Coded Industry and Occupation |
| 23.7 Composition - Provider Fetal Death Report |
| 23.8 Composition - Provider Live Birth Report |
| 23.9 Composition - Jurisdiction Fetal Death Report |
| 23.10 Composition - Jurisdiction Live Birth Report |
| 23.11 Composition - Coded Cause of Fetal Death |
| 23.12 Composition - Coded Race and Ethnicity |
| 23.13 Composition - Coded Industry and Occupation |
| 23.14 Questionnaire - Mother's Worksheet for Child's Birth Certificate |
| 23.15 Questionnaire - Patient's Fetal Death Worksheet |
| 23.16 Encounter - Birth |
| 23.17 Encounter - Maternity |
| 23.18 Birth and Fetal Death Location |
| 23.19 Jurisdictional Facility Identifier |
| 23.20 Encounter Maternity Reference |
| 23.21 Practitioner - Birth Attendant |
| 23.22 Practitioner - Birth Certifier |
| 23.23 Practitioner Role - Birth Attendant |
| 23.24 Practitioner Role - Certifier |
| 23.25 Observation - APGAR Score |
| 23.26 Observation - Birth Weight |
| 23.27 Observation - Fetal Presentation at Birth/Delivery |
| 23.28 Observation - Gestational Age at Delivery |
| 23.29 Observation - Infant Breastfed at Discharge |
| 23.30 Observation - Infant Living |
| 23.31 Observation - Mother Delivery Weight (reported in pounds) |
| 23.32 Observation - Number of Fetal Deaths This Delivery |
| 23.33 Observation - Number of Live Births This Delivery |
| 23.34 Condition - Seizure |
| 23.35 Observation - NICU Admission |
| 23.36 Procedure - Antibiotic for Suspected Neonatal Sepsis |
| 23.37 Procedure - Assisted Ventilation Following Delivery |
| 23.38 Procedure - Assisted Ventilation More Than Six Hours |
| 23.39 Procedure - Surfactant Replacement Therapy |
| 23.40 Observation - None Of Specified Abnormal Conditions of Newborn |
| 23.41 Condition - Congenital Anomaly of Newborn |
| 23.42 Observation - None Of Specified Congenital Anomolies Of The Newborn |
| 23.43 Condition - Chorioamnionitis |
| 23.44 Observation - Antibiotics Administered During Labor |
| 23.45 Observation - Administration of Steroids for Fetal Lung Maturation |
| 23.46 Procedure - Augmentation of Labor |
| 23.47 Procedure - Epidural or Spinal Anesthesia |
| 23.48 Procedure - Induction of Labor |
| 23.49 Observation - None Of Specified Characteristics of Labor and Delivery |
| 23.50 Coverage - Principal Payer for Delivery |
| 23.51 Observation - Cigarette Smoking Before and During Pregnancy |
| 23.52 Observation - Date of First Prenatal Care Visit |
| 23.53 Observation - Date of Last Live Birth |
| 23.54 Observation - Date of Last Other Pregnancy Outcome |
| 23.55 Observation - Last Menstrual Period |
| 23.56 Observation - Mother Height |
| 23.57 Observation - Mother Prepregnancy Weight |
| 23.58 Observation - Mother Recieved WIC Food |
| 23.59 Observation - Number of Births Now Dead |
| 23.60 Observation - Number of Births Now Living |
| 23.61 Observation - Number of Other Pregnancy Outcomes |
| 23.62 Observation - Number of Prenatal Visits |
| 23.63 Condition - Infection Present During Pregnancy |
| 23.64 Observation - None Of Specified Infections During Pregnancy |
| 23.65 Observation - Labor Trial Attempted |
| 23.66 Observation - Number of Previous Cesareans |
| 23.67 Procedure - Obstetric |
| 23.68 Observation - None Of Specified Obstetric Procedures |
| 23.69 Procedure - Final Route and Method of Delivery |
| 23.70 Observation - Unknown Final Route and Method of Delivery |
| 23.71 Condition - Eclampsia Hypertension |
| 23.72 Condition - Gestational Diabetes |
| 23.73 Condition - Gestational Hypertension |
| 23.74 Condition - Prepregnancy Diabetes |
| 23.75 Condition - Prepregnancy Hypertension |
| 23.76 Observation - Previous Cesarean |
| 23.77 Observation - Previous Preterm Birth |
| 23.78 Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination |
| 23.79 Procedure - Assisted Reproductive Technology |
| 23.80 Procedure - Infertility Treatment |
| 23.81 Observation - None Of Specified Pregnancy Risk Factors |
| 23.82 Condition - Perineal Laceration |
| 23.83 Condition - Ruptured Uterus |
| 23.84 Observation - ICU Admission |
| 23.85 Procedure - Blood Transfusion |
| 23.86 Procedure - Unplanned Hysterectomy |
| 23.87 Observation - None Of Specified Maternal Morbidities |
| 23.88 Condition - Fetal Death Initiating Cause or Condition |
| 23.89 Condition - Fetal Death Other Cause or Condition |
| 23.90 Observation - Autopsy Performed Indicator |
| 23.91 Observation - Autopsy or Histological Exam Results Used |
| 23.92 Observation - Fetal Death Time Point |
| 23.93 Observation - Fetal Remains Disposition Method |
| 23.94 Observation - Histological Placental Exam Performed |
| 23.95 Patient - Decedent Fetus |
| 23.96 Observation - Mother Married During Pregnancy |
| 23.97 Observation - Paternity Acknowledgement Signed |
| 23.98 Observation - Social Security Number Requested For Child |
| 23.99 Extension Parental Role |
| 23.100 Observation - Present Job |
| 23.101 Observation - Birth Plurality of Pregnancy |
| 23.102 Observation - Planned to Deliver at Home |
| 23.103 Observation - Coded Initiating Fetal Death Cause or Condition |
| 23.104 Observation - Coded Other Fetal Death Cause or Condition |
| 23.105 Birth Edit Flags |
| 23.106 Local BFDR Codes |
| 23.107 APGAR Score Timing |
| 23.108 Birth and Fetal Death Financial Class |
| 23.109 Birth Attendants Titles |
| 23.110 Birth Delivery Occurred |
| 23.111 Birth Weight Edit Flags (NCHS) |
| 23.112 Cigarette Smoking Before and During Pregnancy |
| 23.113 Delivery Routes |
| 23.114 Estimate of Gestation Edit Flags (NCHS) |
| 23.115 Fetal Death Cause or Condition |
| 23.116 Fetal Death Time Points |
| 23.117 Fetal Presentations |
| 23.118 Fetal Remains Disposition Method |
| 23.119 Performed NotPerformed Planned |
| 23.120 Infections During Pregnancy Live Birth |
| 23.121 Informant Relationship to Mother |
| 23.122 Location Types |
| 23.123 Fetal Presentations - Max |
| 23.124 Newborn Congenital Anomalies |
| 23.125 Number of Previous Cesareans Edit Flags (NCHS) |
| 23.126 Pregnancy Report Edit Flags (NCHS) |
| 23.127 Obstetric Procedure Outcome |
| 23.128 Units of Gestational Age |
| 23.129 Fertility Enhancing Drug Therapy and Artificial Insemination Value Set |
| 23.130 BirthAndFetalDeathFinancialClass Concept Map |
| 23.131 BirthAttendantTitles Concept Map |
| 23.132 BirthDeliveryOccurred Concept Map |
| 23.133 BirthWeightEditFlags Concept Map |
| 23.134 DeliveryRoutes Concept Map |
| 23.135 EstimateOfGestationEditFlags Concept Map |
| 23.136 FetalDeathCauseOrCondition Concept Map |
| 23.137 FetalDeathTimePoints Concept Map |
| 23.138 FetalPresentation Concept Map |
| 23.139 InfectionsDuringPregnancyLiveBirth Concept Map |
| 23.140 NewbornCongenitalAnomalies Concept Map |
| 23.141 NumberPreviousCesareansEditFlags Concept Map |
| 23.142 PerformedNotPerformedPlanned Concept Map |
| 23.143 PregnancyReportEditFlags Concept Map |
| 23.144 USA SNOMED-CT |
| 23.145 Bundle - Coded Cause of Fetal Death - not named |
| 23.146 Bundle - Jurisdiction Fetal Death Report - Fetus Not Named |
| 23.147 Bundle - Provider Fetal Death Report - Fetus Not Named |
| 23.148 Composition - Jurisdiction Fetal Death Report - Fetus Not Named |
| 23.149 Composition - Coded Cause of Fetal Death - Fetus Not Named |
| 23.150 Composition - Provider Fetal Death Report - Fetus Not Named |
| 23.151 Condition - Fetal Death Initiating Cause or Condition - Fetus Not Named |
| 23.152 Condition - Fetal Death Other Cause or Condition - Fetus Not Named |
| 23.153 Condition - Gestational Diabetes - Carmen Teresa Lee |
| 23.154 Encounter - Maternity - Carmen Teresa Lee |
| 23.155 Observation - Autopsy or Histological Exam Results Used - Fetus Not Named |
| 23.156 Observation - Autopsy Performed - Fetus Not Named |
| 23.157 Observation - Birth Weight - Fetus Not Named |
| 23.158 Observation - Birth Weight - Fetus Not Named, with Edit Flag |
| 23.159 Observation - Cigarette Smoking Before During Pregnancy - 3 months prior: Carmen Teresa Lee |
| 23.160 Observation - Cigarette Smoking Before During Pregnancy - first 3 months: Carmen Teresa Lee |
| 23.161 Observation - Cigarette Smoking Before During Pregnancy example - second 3 months: Carmen Teresa Lee |
| 23.162 Observation - Cigarette Smoking Before During Pregnancy - last 3 months: Carmen Teresa Lee |
| 23.163 Observation - Coded Initiating Cause of Fetal Death |
| 23.164 Observation - Coded Other Cause of Fetal Death |
| 23.165 Observation - Date of First Prenatal Care Visit - Carmen Teresa Lee |
| 23.166 Observation - Date of Last Live Birth - Carmen Teresa Lee |
| 23.167 Observation - Observation Estimated Fetal Death Time Point - Fetus Not Named |
| 23.168 Observation - Fetal Presentation - Fetus Not Named |
| 23.169 Observation - Gestational Age at Delivery - Fetus Not Named |
| 23.170 Observation - Gestational Age at Delivery - Fetus Not Named, with Edit Flag |
| 23.171 Observation - Histological Placental Exam Performed - Fetus Not Named |
| 23.172 Observation - InputRaceAndEthnicity example [carmen teresa lee] |
| 23.173 Observation - Last Menstrual Period - Carmen Teresa Lee |
| 23.174 Observation - Method of Disposition - Fetus Not Named |
| 23.175 Observation - Mother Height - Carmen Teresa Lee |
| 23.176 Observation - Mother Height - Carmen Teresa Lee, with Edit Flag |
| 23.177 Observation - Mother Prepregnancy Weight - Carmen Teresa Lee |
| 23.178 Observation - Mother Prepregnancy Weight - Carmen Teresa Lee, with Edit Flag |
| 23.179 Observation - Mother Received WIC Food - Carmen Teresa Lee |
| 23.180 Observation - Number of Births Now Dead - Carmen Teresa Lee |
| 23.181 Observation - Number of Fetal Deaths This Delivery - Carmen Teresa Lee |
| 23.182 Observation - Number Live Births This Delivery - Carmen Teresa Lee |
| 23.183 Observation - Number of Births Now Living - Carmen Teresa Lee |
| 23.184 Observations - Number Previous Cesareans - Carmen Teresa Lee |
| 23.185 Observations - Number Previous Cesareans - Carmen Teresa Lee, with Edit Flag |
| 23.186 Observation - Parent Education Level - Carmen Teresa Lee |
| 23.187 Observation - Parent Education Level - Carmen Teresa Lee, with Edit Flag |
| 23.188 Observation - Mother Present Job - Carmen Teresa Lee |
| 23.189 Observation - Father Present Job - Tom Yan Lee |
| 23.190 Procedure - Final Route / Method of Delivery - Fetus Not Named |
| 23.191 Patient - Decedent Fetus example [Fetus Not Named] |
| 23.192 Patient - Decedent Fetus example [Fetus Not Named], with Edit Flag |
| 23.193 Patient - Mother example [Carmen Teresa Lee] |
| 23.194 Patient - Mother example [Carmen Teresa Lee], with Edit Flag |
| 23.195 QuestionnaireResponse - Patient's Fetal Death Worksheet: Carmen Lee |
| 23.196 RelatedPerson - Father Natural - Vital Records - Tom Yan Lee |
| 23.197 RelatedPerson - Father Natural - Vital Records - Tom Yan Lee, with Edit Flag |
| 23.198 RelatedPerson - Mother Gestational - Vital Records - Carmen Teresa Lee |
| 23.199 Bundle - Coded Race and Ethnicity - Baby G Quinn |
| 23.200 Bundle - Jurisdiction Live Birth Report - Baby G Quinn |
| 23.201 Bundle - Provider Live Birth - Baby G Quinn |
| 23.202 Composition - Coded Race and Ethnicity - Baby G Quinn |
| 23.203 Composition - Jurisdiction Live Birth Report - BabyG Quinn |
| 23.204 Composition - Provider Live Birth Report - BabyG Quinn |
| 23.205 Condition - Chorioamnionitis - Jada Ann Quinn |
| 23.206 Condition - Congenital Anomaly of Newborn - BabyG Quinn |
| 23.207 Condition - Congenital Anomaly of Newborn - Baby G Quinn |
| 23.208 Condition - Eclampsia Hypertension - Jada Ann Quinn |
| 23.209 Condition - Gestational Diabetes - Jada Ann Quinn |
| 23.210 Condition - Gestational Hypertension - Jada Ann Quinn |
| 23.211 Condition - Infection Present During Pregnancy - Jada Ann Quinn |
| 23.212 Condition - Perineal Laceration - Jada Ann Quinn |
| 23.213 Condition - Prepregnancy Diabetes - Jada Ann Quinn |
| 23.214 Condition - Prepregnancy Hypertension - Carmen Teresa Lee |
| 23.215 Condition - Prepregnancy Hypertension - Jada Ann Quinn |
| 23.216 Condition - Ruptured Uterus - Jada Ann Quinn |
| 23.217 Condition - Seizure - BabyG Quinn |
| 23.218 Coverage - Principal Payer for Delivery - Jada Ann Quinn |
| 23.219 Encounter - Birth - Baby G Quinn |
| 23.220 Encounter - Maternity - Jada Ann Quinn |
| 23.221 Observation - Antibiotics Administered During Labor - Jada Ann Quinn |
| 23.222 Observation - Apgar Score - BabyG Quinn: 5 min |
| 23.223 Observation - Apgar Score - BabyG Quinn: 10 min |
| 23.224 Observation - Birth Weight - Baby G Quinn |
| 23.225 Observation - Birth Weight - Baby G Quinn, with Edit Flag |
| 23.226 Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: 3 months prior |
| 23.227 Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: first 3 months |
| 23.228 Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: second 3 months |
| 23.229 Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: last 3 months |
| 23.230 Observation - Date of First Prenatal Care Visit - Jada Ann Quinn |
| 23.231 Observation - Date of Last Live Birth - Jada Ann Quinn |
| 23.232 Observation - Date of Last Other Pregnancy Outcome - Jada Ann Quinn |
| 23.233 Observation - Fetal Presentation Baby G Quinn |
| 23.234 Observation - InputRaceAndEthnicity example [jada ann quinn] |
| 23.235 Observation - InputRaceAndEthnicity example [james-quinn] |
| 23.236 Observation - InputRaceAndEthnicity example [james-quinn with edit] |
| 23.237 Observation - Last Menstrual Period - Jada Ann Quinn |
| 23.238 Observation - Mother Delivery Weight - Jada Ann Quinn |
| 23.239 Observation - Mother Delivery Weight - Jada Ann Quinn, with Edit Flag |
| 23.240 Observation - Mother Height - Jada Ann Quinn |
| 23.241 Observation - Mother Height - Jada Ann Quinn, with Edit Flag |
| 23.242 Observation - None Of Specified Infections During Pregnancy - Jada Ann Quinn |
| 23.243 Observation - None Of Specified Obstetric Procedures - Jada Ann Quinn |
| 23.244 Observation - Paternity Acknowledgement Signed - James Quinn |
| 23.245 Observation - Paternity Acknowledgement Signed - James Quinn with edit reference |
| 23.246 Procedure - Final Route and Method of Delivery - Baby G Quinn |
| 23.247 Observation - Gestational Age at Delivery - Baby G Quinn |
| 23.248 Observation - Gestational Age at Delivery - Baby G Quinn, with Edit Flag |
| 23.249 Observation - ICU Admission - Jada Ann Quinn |
| 23.250 Observation - Infant Breastfed at Discharge - Baby G Quinn |
| 23.251 Observation - Infant Living - Baby G Quinn |
| 23.252 Observation - Labor Trial Attempted - Baby G Quinn |
| 23.253 Observation - Mother Married During Pregnancy - Jada Ann Quinn |
| 23.254 Observation - Mother Prepregnancy Weight - Jada Ann Quinn |
| 23.255 Observation - Mother Prepregnancy Weight - Jada Ann Quinn, with Edit Flag |
| 23.256 Observation - Mother Received WIC Food - Jada Ann Quinn |
| 23.257 Observation - NICU Admission - BabyG Quinn |
| 23.258 Observation - None Of Specified Abnormal Conditions of Newborn - BabyG Quinn |
| 23.259 Observation - None Of Specified Characteristics of Labor and Delivery - Jada Ann Quinn |
| 23.260 Observation - None Of Specified Maternal Morbidities - Jada Ann Quinn |
| 23.261 Observation - None of Specified Risk Factors - Jada Ann Quinn |
| 23.262 Observation - Number Births Now Dead - Jada Ann Quinn |
| 23.263 Observation - Number Births Now Living - Jada Ann Quinn |
| 23.264 Observation - Number Live Births This Delivery - Jada Ann Quinn |
| 23.265 Observation - Number Other Pregnancy Outcomes - Jada Ann Quinn |
| 23.266 Observation - Number Prenatal Visits - Jada Ann Quinn |
| 23.267 Observation - Number Prenatal Visits - Jada Ann Quinn, with Edit Flag |
| 23.268 Observation - Number Previous Cesareans - Jada Ann Quinn |
| 23.269 Observation - Number Previous Cesareans - Jada Ann Quinn, with Edit Flag |
| 23.270 Observation - Parent Education Level - Jada Ann Quinn |
| 23.271 Observation - Parent Education Level - Jada Ann Quinn, with Edit Flag |
| 23.272 Observation - Parent Education Level - James Quinn |
| 23.273 Observation - Parent Education Level - James Quinn, with Edit Flag |
| 23.274 Observation - Parent Education Level - Tom Yan Lee |
| 23.275 Observation - Parent Education Level - Tom Yan Lee, with Edit Flag |
| 23.276 Observation - Planned to Deliver at Home - Baby G Quinn |
| 23.277 Observation - Planned to Delivery at Home - Fetus Not Named |
| 23.278 Observation - Previous Cesarean - Jada Ann Quinn |
| 23.279 Observation - Previous Preterm Births - Jada Ann Quinn |
| 23.280 Observation - SSN Requested for Child - BabyG Quinn |
| 23.281 Observation - Administration of Steroids for Fetal Lung Maturation - Jada Ann Quinn |
| 23.282 Observation - Unknown Final Route Method of Delivery - Jada Ann Quinn |
| 23.283 Patient - Child example [Baby G Quinn] |
| 23.284 Patient - Child example [Baby G Quinn], with Edit Flag |
| 23.285 Patient - Mother Date Part Absent |
| 23.286 Patient - Mother Jada Ann Quinn |
| 23.287 Patient - Mother Jada Ann Quinn, with Edit Flag |
| 23.288 Procedure - Antibiotic for Suspected Neonatal Sepsis - BabyG Quinn |
| 23.289 Procedure - Artificial Insemniation - Jada Ann Quinn |
| 23.290 Procedure - Assisted Reproductive Technology - Jada Ann Quinn |
| 23.291 Procedure - Augmentation of Labor - Jada Ann Quinn |
| 23.292 Procedure - Blood Transfusion - Jada Ann Quinn |
| 23.293 Procedure - Epidural or Spinal Anesthesia - Jada Ann Quinn |
| 23.294 Procedure - Induction of Labor - Jada Ann Quinn |
| 23.295 Procedure - Infertility Treatment - Jada Ann Quinn |
| 23.296 Procedure - Obstetric Procedure - Jada Ann Quinn |
| 23.297 Procedure - Surfactant Replacement - BabyG Quinn |
| 23.298 Procedure Unplanned Hysterectomy - Jada Ann Quinn |
| 23.299 Procedure - Assisted Ventilation Following Delivery - BabyG Quinn |
| 23.300 Procedure - Assisted Ventilation More Than Six Hours - BabyG Quinn |
| 23.301 QuestionnaireResponse - Mother's Worksheet for Child's Birth Certificate: Jada Ann Quinn |
| 23.302 RelatedPerson - Father Natural - Vital Records - James Brandon Quinn |
| 23.303 RelatedPerson - Father Natural - Vital Records - James Brandon Quinn, with Edit Flag |
| 23.304 RelatedPerson - Mother Gestational - Vital Records - Jada Ann Quinn |
| 23.305 Observation - Father Present Job - James Brandon Quinn - coded |
| 23.306 Observation - Father Present Job - James Brandon Quinn |
| 23.307 Observation - Mother Present Job - Jada Ann Quinn - coded |
| 23.308 Observation - Mother Present Job - Jada Ann Quinn |
| 23.309 Bundle - Coded Industry and Occupation - Baby G Quinn |
| 23.310 Composition - Coded Industry and Occuption - Baby G Quinn |
| 23.311 Location BFDR - East Hospital |
| 23.312 Location BFDR - North Hospital |
| 23.313 Location BFDR - South Hospital |
| 23.314 Observation - Gestational Age at Delivery - Baby G Quinn - Premature |
| 23.315 Observation - Gestational Age at Delivery - Baby G Quinn - Premature in weeks |
| 23.316 Observation - Plurality of Pregnancy example [Carmen Teresa Lee] |
| 23.317 Observation - CodedRaceAndEthnicity example [Father] |
| 23.318 Observation - CodedRaceAndEthnicity example [Mother] |
| 23.319 Observation - InputRaceAndEthnicity example [Father] |
| 23.320 Observation - InputRaceAndEthnicity example [Mother] |
| 23.321 Observation - None Of Specified Congenital Anomolies of Newborn - BabyG Quinn |
| 23.322 US Core Organization - Jurisdictional Vital Records Office |
| 23.323 US Core Organization - National Center for Health Statistics [NCHS] |
| 23.324 US Core Organization - South Hospital |
| 23.325 Practitioner - Vital Records - Avery Jones, MD |
| 23.326 Practitioner - Vital Records - Janet Seito |
 23.327 Practitioner - Vital Records - Jessica Leung |
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