Birth And Fetal Death (BFDR) - STU2-ballot
2.0.0-Preview1 - trial-use United States of America flag

Birth And Fetal Death (BFDR) - STU2-ballot, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-Preview1 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 - Jurisdiction Live Birth Report

Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-jurisdiction-live-birth-report Version: 2.0.0-Preview1
Active as of 2024-03-28 Computable Name: CompositionJurisdictionLiveBirthReport
Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.8

This Composition profile contains information of a live birth and the issuance of a Birth Certificate to be recorded and communicated to the national statistics agency.

The data requirements for jurisdictional reporting of live births are based on the Edit Specifications for the 2003 Revision of the U.S. Standard Certificate of Birth.

For information on IJE and Forms Mappings, see the CompositionProviderLiveBirthReport page.

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..*CompositionJurisdiction Live Birth Report
... status 1..1codeIn the case of a live birth sent in error, a status of 'entered-in-error' must be set.
... type 1..1CodeableConceptJurisdiction live birth report Document
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92011-6
... subject 1..1Reference(Patient - Child Vital Records)The subject of the composition is the newborn baby
.... Extension-encounter-maternity-reference 0..1Reference(Encounter - Maternity)Encounter Maternity Reference
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
... date 1..1dateTimeDate report completed
... author 1..1Reference(US Core Organization Profile)The author is the jurisdictional Vital Records Office.
... Slices for section 0..*BackboneElementThe 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..1BackboneElementmotherPrenatal Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 1..1Reference(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..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:numberPrenatalCareVisits 0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
...... entry:dateLastNormalMenses 0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving 0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead 0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth 0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:numberOtherOutcomes 0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome 0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
...... entry:principalSourceOfPayment 0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery 0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
...... entry:mothersHeight 0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight 0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood 0..1Reference(Observation - Mother Recieved WIC Food)Use
...... entry:cigaretteSmokingBeforeDuringPregnancy 0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation 0..1BackboneElementmedicalHealthInformation Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 1..1Reference(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 - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)Risk factors in this pregnancy
...... entry:numberPreviousCesareans 0..1Reference(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..1Reference(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..1Reference(Observation - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery 0..1Reference(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..1BackboneElementnewbornInformation Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol 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..1Reference(Observation - Birth Weight)Birthweight
...... entry:gestationalAgeAtDelivery 0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:APGARScore 0..2Reference(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..1Reference(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..1Reference(Observation - Infant Living)Is infant living at time of report?
...... entry:infantBreastfedAtDischarge 0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
.... section:motherInformation 0..1BackboneElementmotherInformation Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92014-0
..... focus 1..1Reference(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..1Reference(Observation - Mother Married During Pregnancy)Mother married during pregnancy
...... entry:ssnRequestedForChild 0..1Reference(Observation - Social Security Number Requested For Child)Was social security number requested for the child
...... entry:mothersEducation 0..1Reference(Observation - Education Level Vital Records)Mother's education
...... entry:mothersUsualWork 0..1Reference(Observation - Usual Work)Mother's Usual Work
...... entry:mothersRaceEthnicity 0..1Reference(Observation - Input Race and Ethnicity Vital Records)Mother's Input Race and Ethnicity
.... section:fatherInformation 0..1BackboneElementfatherInformation Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92013-2
..... focus 1..1Reference(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:$this.resolve()
...... entry:paternityAcknowledgementSigned 0..1Reference(Observation - Paternity Acknowledgement Signed)Paternity acknowledgement signed by father
...... entry:fathersEducation 0..1Reference(Observation - Education Level Vital Records)Father's education
...... entry:fathersUsualWork 0..1Reference(Observation - Usual Work)Father's Usual Work
...... entry:fathersRaceEthnicity 0..1Reference(Observation - Input Race and Ethnicity Vital Records)Father's Input Race and Ethnicity
.... section:emergingIssues 0..1BackboneElementemergingIssues Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: emergingissues
..... Slices for entry 0..*Reference(Resource)Entries that are contained in the emergingIssues Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:EmergingIssues 0..1Reference(Observation - Emerging Issues Vital Records)Emerging Issues

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionJurisdiction Live Birth Report
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeIn 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.

.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92011-6
... subject Σ1..1Reference(Patient - Child Vital Records)The subject of the composition is the newborn baby
... encounter Σ0..1Reference(Encounter - Birth)The Encounter for the Composition is the newborn's birth encounter.
.... Extension-encounter-maternity-reference 0..1Reference(Encounter - Maternity)Encounter Maternity Reference
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
Slice: Unordered, Open by value:url
... date Σ1..1dateTimeDate report completed
... author Σ1..1Reference(US Core Organization Profile)The author is the jurisdictional Vital Records Office.
... title Σ1..1stringHuman Readable name/title
... Slices for section C0..*BackboneElementThe 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... section:motherPrenatal C0..1BackboneElementmotherPrenatal Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the motherPrenatal Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:firstPrenatalCareVisit C0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:numberPrenatalCareVisits C0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
...... entry:dateLastNormalMenses C0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving C0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead C0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth C0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:numberOtherOutcomes C0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome C0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
...... entry:principalSourceOfPayment C0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery C0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
...... entry:mothersHeight C0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight C0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood C0..1Reference(Observation - Mother Recieved WIC Food)Use
...... entry:cigaretteSmokingBeforeDuringPregnancy C0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation C0..1BackboneElementmedicalHealthInformation Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the medicalHealthInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors C0..*Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)Risk factors in this pregnancy
...... entry:numberPreviousCesareans C0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy C0..*Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy)Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures C0..1Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures)Obstetric procedures
...... entry:characteristicsLaborDelivery C0..*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 C0..1Reference(Observation - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery C0..1Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)Final route and method of delivery
...... entry:maternalMorbidity C0..*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 C0..1BackboneElementnewbornInformation Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57075-4
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the newbornInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight C0..1Reference(Observation - Birth Weight)Birthweight
...... entry:gestationalAgeAtDelivery C0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:APGARScore C0..2Reference(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 C0..1Reference(Observation - Number of Live Births This Delivery)Number of live births this delivery
...... entry:abnormalConditionsNewborn C0..*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 C0..*Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn)Congenital anomolies of the newborn
...... entry:infantLiving C0..1Reference(Observation - Infant Living)Is infant living at time of report?
...... entry:infantBreastfedAtDischarge C0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
.... section:motherInformation C0..1BackboneElementmotherInformation Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92014-0
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the motherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:marriedDuringPregnancy C0..1Reference(Observation - Mother Married During Pregnancy)Mother married during pregnancy
...... entry:ssnRequestedForChild C0..1Reference(Observation - Social Security Number Requested For Child)Was social security number requested for the child
...... entry:mothersEducation C0..1Reference(Observation - Education Level Vital Records)Mother's education
...... entry:mothersUsualWork C0..1Reference(Observation - Usual Work)Mother's Usual Work
...... entry:mothersRaceEthnicity C0..1Reference(Observation - Input Race and Ethnicity Vital Records)Mother's Input Race and Ethnicity
.... section:fatherInformation C0..1BackboneElementfatherInformation Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92013-2
..... focus 1..1Reference(RelatedPerson - Father Natural Vital Records)The focus of this section is the father
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the fatherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:paternityAcknowledgementSigned C0..1Reference(Observation - Paternity Acknowledgement Signed)Paternity acknowledgement signed by father
...... entry:fathersEducation C0..1Reference(Observation - Education Level Vital Records)Father's education
...... entry:fathersUsualWork C0..1Reference(Observation - Usual Work)Father's Usual Work
...... entry:fathersRaceEthnicity C0..1Reference(Observation - Input Race and Ethnicity Vital Records)Father's Input Race and Ethnicity
.... section:emergingIssues C0..1BackboneElementemergingIssues Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: emergingissues
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the emergingIssues Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:EmergingIssues C0..1Reference(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 92011-6
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:emergingIssues.codeexamplePattern: emergingissues
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionJurisdiction Live Birth Report
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codeIn 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 Σ1..1CodeableConceptJurisdiction live birth report Document
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92011-6
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(Patient - Child Vital Records)The subject of the composition is the newborn baby
... encounter Σ0..1Reference(Encounter - Birth)The Encounter for the Composition is the newborn's birth encounter.
.... id 0..1stringUnique id for inter-element referencing
.... Extension-encounter-maternity-reference 0..1Reference(Encounter - Maternity)Encounter Maternity Reference
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
Slice: Unordered, Open by value:url
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... date Σ1..1dateTimeDate report completed
... author Σ1..1Reference(US Core Organization Profile)The author is the jurisdictional Vital Records Office.
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(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 Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section C0..*BackboneElementThe 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C0..*Reference(Resource)A reference to data that supports this section
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:motherPrenatal C0..1BackboneElementmotherPrenatal Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the motherPrenatal Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:firstPrenatalCareVisit C0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:numberPrenatalCareVisits C0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
...... entry:dateLastNormalMenses C0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving C0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead C0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth C0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:numberOtherOutcomes C0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome C0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
...... entry:principalSourceOfPayment C0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery C0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
...... entry:mothersHeight C0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight C0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood C0..1Reference(Observation - Mother Recieved WIC Food)Use
...... entry:cigaretteSmokingBeforeDuringPregnancy C0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:medicalHealthInformation C0..1BackboneElementmedicalHealthInformation Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the medicalHealthInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors C0..*Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)Risk factors in this pregnancy
...... entry:numberPreviousCesareans C0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy C0..*Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy)Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures C0..1Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures)Obstetric procedures
...... entry:characteristicsLaborDelivery C0..*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 C0..1Reference(Observation - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery C0..1Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)Final route and method of delivery
...... entry:maternalMorbidity C0..*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 C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:newbornInformation C0..1BackboneElementnewbornInformation Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57075-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the newbornInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight C0..1Reference(Observation - Birth Weight)Birthweight
...... entry:gestationalAgeAtDelivery C0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:APGARScore C0..2Reference(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 C0..1Reference(Observation - Number of Live Births This Delivery)Number of live births this delivery
...... entry:abnormalConditionsNewborn C0..*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 C0..*Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn)Congenital anomolies of the newborn
...... entry:infantLiving C0..1Reference(Observation - Infant Living)Is infant living at time of report?
...... entry:infantBreastfedAtDischarge C0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:motherInformation C0..1BackboneElementmotherInformation Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92014-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the motherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:marriedDuringPregnancy C0..1Reference(Observation - Mother Married During Pregnancy)Mother married during pregnancy
...... entry:ssnRequestedForChild C0..1Reference(Observation - Social Security Number Requested For Child)Was social security number requested for the child
...... entry:mothersEducation C0..1Reference(Observation - Education Level Vital Records)Mother's education
...... entry:mothersUsualWork C0..1Reference(Observation - Usual Work)Mother's Usual Work
...... entry:mothersRaceEthnicity C0..1Reference(Observation - Input Race and Ethnicity Vital Records)Mother's Input Race and Ethnicity
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:fatherInformation C0..1BackboneElementfatherInformation Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92013-2
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 1..1Reference(RelatedPerson - Father Natural Vital Records)The focus of this section is the father
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the fatherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:paternityAcknowledgementSigned C0..1Reference(Observation - Paternity Acknowledgement Signed)Paternity acknowledgement signed by father
...... entry:fathersEducation C0..1Reference(Observation - Education Level Vital Records)Father's education
...... entry:fathersUsualWork C0..1Reference(Observation - Usual Work)Father's Usual Work
...... entry:fathersRaceEthnicity C0..1Reference(Observation - Input Race and Ethnicity Vital Records)Father's Input Race and Ethnicity
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:emergingIssues C0..1BackboneElementemergingIssues Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: emergingissues
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the emergingIssues Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:EmergingIssues C0..1Reference(Observation - Emerging Issues Vital Records)Emerging Issues
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC code 92011-6
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:motherPrenatal.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:motherPrenatal.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:motherPrenatal.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:medicalHealthInformation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:medicalHealthInformation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:medicalHealthInformation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:newbornInformation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:newbornInformation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:newbornInformation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:motherInformation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:motherInformation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:motherInformation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:fatherInformation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:fatherInformation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:fatherInformation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:emergingIssues.codeexamplePattern: emergingissues
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:emergingIssues.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:emergingIssues.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:emergingIssues.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 1 element (10 nested mandatory elements)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.section is sliced based on the value of pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.resolve()

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionJurisdiction Live Birth Report
... status 1..1codeIn the case of a live birth sent in error, a status of 'entered-in-error' must be set.
... type 1..1CodeableConceptJurisdiction live birth report Document
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92011-6
... subject 1..1Reference(Patient - Child Vital Records)The subject of the composition is the newborn baby
.... Extension-encounter-maternity-reference 0..1Reference(Encounter - Maternity)Encounter Maternity Reference
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
... date 1..1dateTimeDate report completed
... author 1..1Reference(US Core Organization Profile)The author is the jurisdictional Vital Records Office.
... Slices for section 0..*BackboneElementThe 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..1BackboneElementmotherPrenatal Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 1..1Reference(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..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:numberPrenatalCareVisits 0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
...... entry:dateLastNormalMenses 0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving 0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead 0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth 0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:numberOtherOutcomes 0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome 0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
...... entry:principalSourceOfPayment 0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery 0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
...... entry:mothersHeight 0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight 0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood 0..1Reference(Observation - Mother Recieved WIC Food)Use
...... entry:cigaretteSmokingBeforeDuringPregnancy 0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation 0..1BackboneElementmedicalHealthInformation Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 1..1Reference(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 - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)Risk factors in this pregnancy
...... entry:numberPreviousCesareans 0..1Reference(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..1Reference(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..1Reference(Observation - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery 0..1Reference(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..1BackboneElementnewbornInformation Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol 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..1Reference(Observation - Birth Weight)Birthweight
...... entry:gestationalAgeAtDelivery 0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:APGARScore 0..2Reference(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..1Reference(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..1Reference(Observation - Infant Living)Is infant living at time of report?
...... entry:infantBreastfedAtDischarge 0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
.... section:motherInformation 0..1BackboneElementmotherInformation Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92014-0
..... focus 1..1Reference(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..1Reference(Observation - Mother Married During Pregnancy)Mother married during pregnancy
...... entry:ssnRequestedForChild 0..1Reference(Observation - Social Security Number Requested For Child)Was social security number requested for the child
...... entry:mothersEducation 0..1Reference(Observation - Education Level Vital Records)Mother's education
...... entry:mothersUsualWork 0..1Reference(Observation - Usual Work)Mother's Usual Work
...... entry:mothersRaceEthnicity 0..1Reference(Observation - Input Race and Ethnicity Vital Records)Mother's Input Race and Ethnicity
.... section:fatherInformation 0..1BackboneElementfatherInformation Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92013-2
..... focus 1..1Reference(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:$this.resolve()
...... entry:paternityAcknowledgementSigned 0..1Reference(Observation - Paternity Acknowledgement Signed)Paternity acknowledgement signed by father
...... entry:fathersEducation 0..1Reference(Observation - Education Level Vital Records)Father's education
...... entry:fathersUsualWork 0..1Reference(Observation - Usual Work)Father's Usual Work
...... entry:fathersRaceEthnicity 0..1Reference(Observation - Input Race and Ethnicity Vital Records)Father's Input Race and Ethnicity
.... section:emergingIssues 0..1BackboneElementemergingIssues Section on the Jurisdiction Live Birth Report
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: emergingissues
..... Slices for entry 0..*Reference(Resource)Entries that are contained in the emergingIssues Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:EmergingIssues 0..1Reference(Observation - Emerging Issues Vital Records)Emerging Issues

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionJurisdiction Live Birth Report
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeIn 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.

.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92011-6
... subject Σ1..1Reference(Patient - Child Vital Records)The subject of the composition is the newborn baby
... encounter Σ0..1Reference(Encounter - Birth)The Encounter for the Composition is the newborn's birth encounter.
.... Extension-encounter-maternity-reference 0..1Reference(Encounter - Maternity)Encounter Maternity Reference
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
Slice: Unordered, Open by value:url
... date Σ1..1dateTimeDate report completed
... author Σ1..1Reference(US Core Organization Profile)The author is the jurisdictional Vital Records Office.
... title Σ1..1stringHuman Readable name/title
... Slices for section C0..*BackboneElementThe 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... section:motherPrenatal C0..1BackboneElementmotherPrenatal Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the motherPrenatal Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:firstPrenatalCareVisit C0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:numberPrenatalCareVisits C0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
...... entry:dateLastNormalMenses C0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving C0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead C0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth C0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:numberOtherOutcomes C0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome C0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
...... entry:principalSourceOfPayment C0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery C0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
...... entry:mothersHeight C0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight C0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood C0..1Reference(Observation - Mother Recieved WIC Food)Use
...... entry:cigaretteSmokingBeforeDuringPregnancy C0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation C0..1BackboneElementmedicalHealthInformation Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the medicalHealthInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors C0..*Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)Risk factors in this pregnancy
...... entry:numberPreviousCesareans C0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy C0..*Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy)Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures C0..1Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures)Obstetric procedures
...... entry:characteristicsLaborDelivery C0..*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 C0..1Reference(Observation - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery C0..1Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)Final route and method of delivery
...... entry:maternalMorbidity C0..*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 C0..1BackboneElementnewbornInformation Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57075-4
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the newbornInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight C0..1Reference(Observation - Birth Weight)Birthweight
...... entry:gestationalAgeAtDelivery C0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:APGARScore C0..2Reference(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 C0..1Reference(Observation - Number of Live Births This Delivery)Number of live births this delivery
...... entry:abnormalConditionsNewborn C0..*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 C0..*Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn)Congenital anomolies of the newborn
...... entry:infantLiving C0..1Reference(Observation - Infant Living)Is infant living at time of report?
...... entry:infantBreastfedAtDischarge C0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
.... section:motherInformation C0..1BackboneElementmotherInformation Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92014-0
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the motherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:marriedDuringPregnancy C0..1Reference(Observation - Mother Married During Pregnancy)Mother married during pregnancy
...... entry:ssnRequestedForChild C0..1Reference(Observation - Social Security Number Requested For Child)Was social security number requested for the child
...... entry:mothersEducation C0..1Reference(Observation - Education Level Vital Records)Mother's education
...... entry:mothersUsualWork C0..1Reference(Observation - Usual Work)Mother's Usual Work
...... entry:mothersRaceEthnicity C0..1Reference(Observation - Input Race and Ethnicity Vital Records)Mother's Input Race and Ethnicity
.... section:fatherInformation C0..1BackboneElementfatherInformation Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92013-2
..... focus 1..1Reference(RelatedPerson - Father Natural Vital Records)The focus of this section is the father
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the fatherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:paternityAcknowledgementSigned C0..1Reference(Observation - Paternity Acknowledgement Signed)Paternity acknowledgement signed by father
...... entry:fathersEducation C0..1Reference(Observation - Education Level Vital Records)Father's education
...... entry:fathersUsualWork C0..1Reference(Observation - Usual Work)Father's Usual Work
...... entry:fathersRaceEthnicity C0..1Reference(Observation - Input Race and Ethnicity Vital Records)Father's Input Race and Ethnicity
.... section:emergingIssues C0..1BackboneElementemergingIssues Section on the Jurisdiction 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: emergingissues
..... Slices for entry C0..*Reference(Resource)Entries that are contained in the emergingIssues Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:EmergingIssues C0..1Reference(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 92011-6
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:emergingIssues.codeexamplePattern: emergingissues
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionJurisdiction Live Birth Report
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codeIn 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 Σ1..1CodeableConceptJurisdiction live birth report Document
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92011-6
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(Patient - Child Vital Records)The subject of the composition is the newborn baby
... encounter Σ0..1Reference(Encounter - Birth)The Encounter for the Composition is the newborn's birth encounter.
.... id 0..1stringUnique id for inter-element referencing
.... Extension-encounter-maternity-reference 0..1Reference(Encounter - Maternity)Encounter Maternity Reference
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
Slice: Unordered, Open by value:url
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... date Σ1..1dateTimeDate report completed
... author Σ1..1Reference(US Core Organization Profile)The author is the jurisdictional Vital Records Office.
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(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 Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section C0..*BackboneElementThe 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C0..*Reference(Resource)A reference to data that supports this section
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:motherPrenatal C0..1BackboneElementmotherPrenatal Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the motherPrenatal Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:firstPrenatalCareVisit C0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:numberPrenatalCareVisits C0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
...... entry:dateLastNormalMenses C0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving C0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead C0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth C0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:numberOtherOutcomes C0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome C0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
...... entry:principalSourceOfPayment C0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery C0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
...... entry:mothersHeight C0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight C0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood C0..1Reference(Observation - Mother Recieved WIC Food)Use
...... entry:cigaretteSmokingBeforeDuringPregnancy C0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:medicalHealthInformation C0..1BackboneElementmedicalHealthInformation Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the medicalHealthInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors C0..*Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)Risk factors in this pregnancy
...... entry:numberPreviousCesareans C0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy C0..*Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy)Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures C0..1Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures)Obstetric procedures
...... entry:characteristicsLaborDelivery C0..*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 C0..1Reference(Observation - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery C0..1Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)Final route and method of delivery
...... entry:maternalMorbidity C0..*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 C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:newbornInformation C0..1BackboneElementnewbornInformation Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57075-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the newbornInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight C0..1Reference(Observation - Birth Weight)Birthweight
...... entry:gestationalAgeAtDelivery C0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:APGARScore C0..2Reference(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 C0..1Reference(Observation - Number of Live Births This Delivery)Number of live births this delivery
...... entry:abnormalConditionsNewborn C0..*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 C0..*Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn)Congenital anomolies of the newborn
...... entry:infantLiving C0..1Reference(Observation - Infant Living)Is infant living at time of report?
...... entry:infantBreastfedAtDischarge C0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:motherInformation C0..1BackboneElementmotherInformation Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92014-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 1..1Reference(Patient - Mother Vital Records)The focus of this section is the mother
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the motherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:marriedDuringPregnancy C0..1Reference(Observation - Mother Married During Pregnancy)Mother married during pregnancy
...... entry:ssnRequestedForChild C0..1Reference(Observation - Social Security Number Requested For Child)Was social security number requested for the child
...... entry:mothersEducation C0..1Reference(Observation - Education Level Vital Records)Mother's education
...... entry:mothersUsualWork C0..1Reference(Observation - Usual Work)Mother's Usual Work
...... entry:mothersRaceEthnicity C0..1Reference(Observation - Input Race and Ethnicity Vital Records)Mother's Input Race and Ethnicity
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:fatherInformation C0..1BackboneElementfatherInformation Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92013-2
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 1..1Reference(RelatedPerson - Father Natural Vital Records)The focus of this section is the father
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the fatherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:paternityAcknowledgementSigned C0..1Reference(Observation - Paternity Acknowledgement Signed)Paternity acknowledgement signed by father
...... entry:fathersEducation C0..1Reference(Observation - Education Level Vital Records)Father's education
...... entry:fathersUsualWork C0..1Reference(Observation - Usual Work)Father's Usual Work
...... entry:fathersRaceEthnicity C0..1Reference(Observation - Input Race and Ethnicity Vital Records)Father's Input Race and Ethnicity
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:emergingIssues C0..1BackboneElementemergingIssues Section on the Jurisdiction 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: emergingissues
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C0..*Reference(Resource)Entries that are contained in the emergingIssues Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:EmergingIssues C0..1Reference(Observation - Emerging Issues Vital Records)Emerging Issues
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC code 92011-6
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:motherPrenatal.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:motherPrenatal.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:motherPrenatal.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:medicalHealthInformation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:medicalHealthInformation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:medicalHealthInformation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:newbornInformation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:newbornInformation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:newbornInformation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:motherInformation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:motherInformation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:motherInformation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:fatherInformation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:fatherInformation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:fatherInformation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:emergingIssues.codeexamplePattern: emergingissues
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:emergingIssues.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:emergingIssues.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:emergingIssues.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 1 element (10 nested mandatory elements)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.section is sliced based on the value of pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.resolve()

 

Other representations of profile: CSV, Excel, Schematron