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

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Resource Profile: Encounter - Birth

This Encounter profile represents the child’s birth encounter.

Usage:

• Refer to this Resource Profile: Composition - Jurisdiction Live Birth Report and Composition - Provider Live Birth Report
• Examples for this Resource Profile: Encounter/encounter-birth-babyg-quinn

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from USCoreEncounterProfile

Name	Flags	Card.	Type	Description & Constraints
Encounter			USCoreEncounterProfile
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
role		1..1	(Complex)	Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
value[x]		1..1	CodeableConcept	Value set used to indicate father or mother. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CHILD
subject		1..1	Reference(Patient - Child Vital Records)	The patient or group present at the encounter
Slices for participant		0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:attendant	S	0..*	BackboneElement	The person responsible for delivering the child.
Slices for type		1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this
type:requiredType		1..1	CodeableConcept	Birth attendant [Extended Identifier] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
individual		1..1	Reference(Practitioner - Birth Attendant)	Persons involved in the encounter other than the patient
participant:certifier	S	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
Slices for type		1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this
type:requiredType		1..1	CodeableConcept	Birth certifier [Extended Identifier] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
period
start	S	0..1	dateTime	Date certified
individual		1..1	Reference(Practitioner - Birth Certifier)	Persons involved in the encounter other than the patient
hospitalization
destination		0..1	Reference(Birth and Fetal Death Location)	If infant transferred, facility transferred to
dischargeDisposition		0..1	CodeableConcept	If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html
location		0..*	BackboneElement	Information about the location of birth
location		1..1	Reference(Birth and Fetal Death Location)	Facility where birth occurred
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
partOf	S	0..1	Reference(Encounter - Maternity)	Reference to the mother's maternity encounter
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred from this IG

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
role		1..1	(Complex)	Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr"
value[x]		1..1	CodeableConcept	Value set used to indicate father or mother. Binding: Role Vital Records (extensible): Vital Records Role Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CHILD
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
subject	SΣ	1..1	Reference(Patient - Child Vital Records)	The patient or group present at the encounter
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile)	Persons involved in the encounter other than the patient
participant:attendant	SΣ	0..*	BackboneElement	The person responsible for delivering the child.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for type	SΣ	1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter.
type:requiredType	SΣ	1..1	CodeableConcept	Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	1..1	Reference(Practitioner - Birth Attendant)	Persons involved in the encounter other than the patient
participant:certifier	SΣ	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for type	SΣ	1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter.
type:requiredType	SΣ	1..1	CodeableConcept	Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
period	S	0..1	Period	Period of time during the encounter that the participant participated
start	SΣC	0..1	dateTime	Date certified
individual	SΣ	1..1	Reference(Practitioner - Birth Certifier)	Persons involved in the encounter other than the patient
period	S	0..1	Period	The start and end time of the encounter
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile)	Reason the encounter takes place (reference)
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
destination		0..1	Reference(Birth and Fetal Death Location)	If infant transferred, facility transferred to
dischargeDisposition	S	0..1	CodeableConcept	If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location	S	0..*	BackboneElement	Information about the location of birth
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Birth and Fetal Death Location)	Facility where birth occurred
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
serviceProvider	S	0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
partOf	S	0..1	Reference(Encounter - Maternity)	Reference to the mother's maternity encounter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.extension:role.value[x]	extensible	Pattern: CHILD http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	extensible	USCoreEncounterType http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:attendant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:attendant.type:requiredType	extensible	Pattern: LOINC code 87286-1 http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:certifier.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:certifier.type:requiredType	extensible	Pattern: LOINC code 87287-9 http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	preferred	USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge) http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred from this IG

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
role		1..1	(Complex)	Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr"
value[x]		1..1	CodeableConcept	Value set used to indicate father or mother. Binding: Role Vital Records (extensible): Vital Records Role Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CHILD
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(Patient - Child Vital Records)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile)	Persons involved in the encounter other than the patient
participant:attendant	SΣ	0..*	BackboneElement	The person responsible for delivering the child.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for type	SΣ	1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter.
type:requiredType	SΣ	1..1	CodeableConcept	Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	1..1	Reference(Practitioner - Birth Attendant)	Persons involved in the encounter other than the patient
participant:certifier	SΣ	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for type	SΣ	1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter.
type:requiredType	SΣ	1..1	CodeableConcept	Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period	S	0..1	Period	Period of time during the encounter that the participant participated
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Date certified
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
individual	SΣ	1..1	Reference(Practitioner - Birth Certifier)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	The start and end time of the encounter
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(Birth and Fetal Death Location)	If infant transferred, facility transferred to
dischargeDisposition	S	0..1	CodeableConcept	If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location	S	0..*	BackboneElement	Information about the location of birth
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Birth and Fetal Death Location)	Facility where birth occurred
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
partOf	S	0..1	Reference(Encounter - Maternity)	Reference to the mother's maternity encounter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.extension:role.value[x]	extensible	Pattern: CHILD http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	extensible	USCoreEncounterType http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:attendant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:attendant.type:requiredType	extensible	Pattern: LOINC code 87286-1 http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:certifier.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:certifier.type:requiredType	extensible	Pattern: LOINC code 87287-9 http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	preferred	USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge) http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred from this IG

This structure is derived from USCoreEncounterProfile

Summary

Mandatory: 2 elements(6 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Patient - Child Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr)
• Practitioner - Birth Attendant (http://hl7.org/fhir/us/bfdr/StructureDefinition/Practitioner-birth-attendant)
• Practitioner - Birth Certifier (http://hl7.org/fhir/us/bfdr/StructureDefinition/Practitioner-birth-certifier)
• Birth and Fetal Death Location (http://hl7.org/fhir/us/bfdr/StructureDefinition/Location-bfdr)
• Encounter - Maternity (http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.participant
• The element 1 is sliced based on the value of Encounter.participant.type

Differential View

This structure is derived from USCoreEncounterProfile

Name	Flags	Card.	Type	Description & Constraints
Encounter			USCoreEncounterProfile
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
role		1..1	(Complex)	Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
value[x]		1..1	CodeableConcept	Value set used to indicate father or mother. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CHILD
subject		1..1	Reference(Patient - Child Vital Records)	The patient or group present at the encounter
Slices for participant		0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:attendant	S	0..*	BackboneElement	The person responsible for delivering the child.
Slices for type		1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this
type:requiredType		1..1	CodeableConcept	Birth attendant [Extended Identifier] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
individual		1..1	Reference(Practitioner - Birth Attendant)	Persons involved in the encounter other than the patient
participant:certifier	S	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
Slices for type		1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this
type:requiredType		1..1	CodeableConcept	Birth certifier [Extended Identifier] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
period
start	S	0..1	dateTime	Date certified
individual		1..1	Reference(Practitioner - Birth Certifier)	Persons involved in the encounter other than the patient
hospitalization
destination		0..1	Reference(Birth and Fetal Death Location)	If infant transferred, facility transferred to
dischargeDisposition		0..1	CodeableConcept	If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html
location		0..*	BackboneElement	Information about the location of birth
location		1..1	Reference(Birth and Fetal Death Location)	Facility where birth occurred
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
partOf	S	0..1	Reference(Encounter - Maternity)	Reference to the mother's maternity encounter
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
role		1..1	(Complex)	Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr"
value[x]		1..1	CodeableConcept	Value set used to indicate father or mother. Binding: Role Vital Records (extensible): Vital Records Role Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CHILD
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
subject	SΣ	1..1	Reference(Patient - Child Vital Records)	The patient or group present at the encounter
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile)	Persons involved in the encounter other than the patient
participant:attendant	SΣ	0..*	BackboneElement	The person responsible for delivering the child.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for type	SΣ	1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter.
type:requiredType	SΣ	1..1	CodeableConcept	Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	1..1	Reference(Practitioner - Birth Attendant)	Persons involved in the encounter other than the patient
participant:certifier	SΣ	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for type	SΣ	1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter.
type:requiredType	SΣ	1..1	CodeableConcept	Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
period	S	0..1	Period	Period of time during the encounter that the participant participated
start	SΣC	0..1	dateTime	Date certified
individual	SΣ	1..1	Reference(Practitioner - Birth Certifier)	Persons involved in the encounter other than the patient
period	S	0..1	Period	The start and end time of the encounter
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile)	Reason the encounter takes place (reference)
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
destination		0..1	Reference(Birth and Fetal Death Location)	If infant transferred, facility transferred to
dischargeDisposition	S	0..1	CodeableConcept	If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location	S	0..*	BackboneElement	Information about the location of birth
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Birth and Fetal Death Location)	Facility where birth occurred
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
serviceProvider	S	0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
partOf	S	0..1	Reference(Encounter - Maternity)	Reference to the mother's maternity encounter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.extension:role.value[x]	extensible	Pattern: CHILD http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	extensible	USCoreEncounterType http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:attendant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:attendant.type:requiredType	extensible	Pattern: LOINC code 87286-1 http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:certifier.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:certifier.type:requiredType	extensible	Pattern: LOINC code 87287-9 http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	preferred	USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge) http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
role		1..1	(Complex)	Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr"
value[x]		1..1	CodeableConcept	Value set used to indicate father or mother. Binding: Role Vital Records (extensible): Vital Records Role Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CHILD
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(Patient - Child Vital Records)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile)	Persons involved in the encounter other than the patient
participant:attendant	SΣ	0..*	BackboneElement	The person responsible for delivering the child.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for type	SΣ	1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter.
type:requiredType	SΣ	1..1	CodeableConcept	Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	1..1	Reference(Practitioner - Birth Attendant)	Persons involved in the encounter other than the patient
participant:certifier	SΣ	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for type	SΣ	1..*	CodeableConcept	Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter.
type:requiredType	SΣ	1..1	CodeableConcept	Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period	S	0..1	Period	Period of time during the encounter that the participant participated
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Date certified
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
individual	SΣ	1..1	Reference(Practitioner - Birth Certifier)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	The start and end time of the encounter
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(Birth and Fetal Death Location)	If infant transferred, facility transferred to
dischargeDisposition	S	0..1	CodeableConcept	If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location	S	0..*	BackboneElement	Information about the location of birth
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Birth and Fetal Death Location)	Facility where birth occurred
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
partOf	S	0..1	Reference(Encounter - Maternity)	Reference to the mother's maternity encounter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.extension:role.value[x]	extensible	Pattern: CHILD http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	extensible	USCoreEncounterType http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:attendant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:attendant.type:requiredType	extensible	Pattern: LOINC code 87286-1 http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:certifier.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:certifier.type:requiredType	extensible	Pattern: LOINC code 87287-9 http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	preferred	USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge) http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred from this IG

This structure is derived from USCoreEncounterProfile

Summary

Mandatory: 2 elements(6 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Patient - Child Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr)
• Practitioner - Birth Attendant (http://hl7.org/fhir/us/bfdr/StructureDefinition/Practitioner-birth-attendant)
• Practitioner - Birth Certifier (http://hl7.org/fhir/us/bfdr/StructureDefinition/Practitioner-birth-certifier)
• Birth and Fetal Death Location (http://hl7.org/fhir/us/bfdr/StructureDefinition/Location-bfdr)
• Encounter - Maternity (http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.participant
• The element 1 is sliced based on the value of Encounter.participant.type