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