UV_Vital Records Birth and Fetal Death Reporting
1.1.0 - STU 1.1 International flag

UV_Vital Records Birth and Fetal Death Reporting, published by IHE International. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/fhir-bfdr/ and changes regularly. See the Directory of published versions

Resource Profile: Composition - Jurisdiction Fetal Death Report

Official URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Composition-jurisdiction-fetal-death-report Version: 1.1.0
Active as of 2024-07-09 Computable Name: CompositionJurisdictionFetalDeathReport

This Composition profile contains information of a fetal death and the creation of a jurisdictional file to be recorded and communicated to the national statistics agency.

The data requirements for jurisdictional reporting of fetal deaths are based on the Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

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..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... Slices for extension S 2..* Extension Extension
Slice: Unordered, Open by value:url
.... fetalDeathReportNumber S 1..1 Identifier State File Number
URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-report-number
.... fetalDeathLocalFileNumber S 0..1 Identifier Local File No.
URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
.... dateReceivedByRegistrar S 1..1 dateTime Extension
URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-received-by-registrar
.... replacementStatus S 0..1 CodeableConcept Extension
URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-replacement-status
Binding: ValueSet - Replacement Status (required)
... status S 1..1 code In the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
... type S 1..1 CodeableConcept Jurisdiction fetal death report Document
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: 92010-8
... encounter S 0..1 Reference(Encounter - Maternity) The Encounter for the Composition is the mother's maternity encounter.
... date S 1..1 dateTime Date report completed
... author S 1..1 Reference(US Core Organization Profile(5.0.1)) The author is the jurisdictional Vital Records Office.
... Slices for section S 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
.... section:motherPrenatal S 0..1 BackboneElement Mother (prenatal) Section on the Fetal Death Report
..... code S 1..1 CodeableConcept Prenatal records
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: 57073-9
..... focus S 1..1 Reference(Patient - Mother - Vital Records) The focus of this section is the mother
..... Slices for entry S 1..* Reference(Resource) Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome S 0..1 Reference(Observation - Planned to Deliver at Home) Planned to deliver at home
...... entry:firstPrenatalCareVisit S 0..1 Reference(Observation - Date of First Prenatal Care Visit) First prenatal care visit
...... entry:dateLastNormalMenses S 0..1 Reference(Observation - Last Menstrual Period - Vital Records) Date last normal menses began
...... entry:numberNowLiving S 0..1 Reference(Observation - Number of Births Now Living - Vital Records) Number of previous live births now living
...... entry:numberNowDead S 0..1 Reference(Observation - Number of Births Now Dead - Vital Records) Number of previous live births now dead
...... entry:dateLastLiveBirth S 0..1 Reference(Observation - Date of Last Live Birth) Date of last live birth
...... entry:mothersHeight S 0..1 Reference(Observation - Mother Height - Vital Records) Mother's height
...... entry:mothersPrepregnancyWeight S 0..1 Reference(Observation - Mother Prepregnancy Weight - Vital Records) Mother's prepregnancy weight
...... entry:motherReceivedWICFood S 0..1 Reference(Observation - Mother Recieved WIC Food) Use of the WIC nutritional program by the mother
...... entry:cigaretteSmokingBeforeDuringPregnancy S 0..4 Reference(Observation - Cigarette Smoking Before and During Pregnancy) Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation S 0..1 BackboneElement Medical and Health Information Section on the Fetal Death Report
..... code S 1..1 CodeableConcept Clinical information
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: 55752-0
..... focus S 1..1 Reference(Patient - Mother - Vital Records) The focus of this section is the mother
..... Slices for entry S 1..* Reference(Resource) Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:pregnancyRiskFactors S 0..* Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records) Risk factors in this pregnancy
..... Slices for entry Content/Rules for all slices
...... entry:numberPreviousCesareans S 0..1 Reference(Observation - Number of Previous Cesareans - Vital Records) If mother had a previous cesarean delivery, how many
..... Slices for entry Content/Rules for all slices
...... entry:fetalPresentation S 0..1 Reference(Observation - Fetal Presentation at Birth/Delivery) Fetal presentation at birth
..... Slices for entry Content/Rules for all slices
...... entry:finalRouteMethodDelivery S 0..1 Reference(Procedure - Final Route and Method of Delivery) Final route and method of delivery
..... Slices for entry Content/Rules for all slices
...... entry:maternalMorbidity S 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:fetus S 0..1 BackboneElement Fetus Section on the Fetal Death Report
..... code S 1..1 CodeableConcept Fetal delivery information Document [US Standard Report of Fetal Death]
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: 76400-1
..... Slices for entry S 1..* Reference(Resource) Entries that are contained in the fetus section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:deliveryWeight S 0..1 Reference(Observation - Birth Weight - Vital Records) Delivery weight
..... Slices for entry Content/Rules for all slices
...... entry:gestationalAgeAtDelivery S 0..1 Reference(Observation - Gestational Age at Delivery - Vital Records) Obstetric estimate of gestation
..... Slices for entry Content/Rules for all slices
...... entry:causeOfFetalDeath S 0..1 Reference(Condition - Fetal Death Cause or Condition) Initiating cause or condition of fetal death
..... Slices for entry Content/Rules for all slices
...... entry:otherCauseOfDeath S 0..* Reference(Condition - Fetal Death Other Cause or Condition) Another significant cause or condition for the death of the fetus.
..... Slices for entry Content/Rules for all slices
...... entry:estimatedTimeFetalDeath S 0..1 Reference(Observation - Fetal Death Time Point) The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
..... Slices for entry Content/Rules for all slices
...... entry:autopsyPerformed S 0..1 Reference(Observation - Autopsy Performed Indicator - Vital Records) An indication if an autopsy has been performed on the subject.
..... Slices for entry Content/Rules for all slices
...... entry:histologicalExamPerformed S 0..1 Reference(Observation - Histological Placental Exam Performed) Whether or not a histological placental examination was performed.
..... Slices for entry Content/Rules for all slices
...... entry:autopsyOrHistologicalExamUsed S 0..1 Reference(Observation - Autopsy or Histological Exam Results Used) Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
..... Slices for entry Content/Rules for all slices
...... entry:numberLiveBirthsThisDelivery S 0..1 Reference(Observation - Number of Live Births This Delivery - Vital Records) Number of live births this delivery
..... Slices for entry Content/Rules for all slices
...... entry:numberFetalDeathsThisDelivery S 0..1 Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) Number of fetal deaths this delivery
.... section:motherInformation S 0..1 BackboneElement Mother Administrative Section on the Fetal Death Report
..... code S 1..1 CodeableConcept Mother's administrative information
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: 92014-0
..... focus S 1..1 Reference(Patient - Mother - Vital Records) The focus of this section is the mother
..... Slices for entry S 1..* Reference(Resource) Entries that are contained in the Mother Information section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:mothersEducation S 0..1 Reference(Observation - Parent Education Level - Vital Records) Mother's Education
.... section:fatherInformation S 0..1 BackboneElement Father section on the Fetal Death Report
..... code S 1..1 CodeableConcept Father's administrative information
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: 92013-2
..... focus S 1..1 Reference(RelatedPerson - Father Natural - Vital Records) The focus of this section is the father
.... section:editFlags S 1..1 BackboneElement Edit Flags Section
..... code S 1..1 CodeableConcept Edit flags section
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: 92012-4
..... Slices for entry S 8..8 Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:editFlagWeightOfFetus S 1..1 Reference(Observation - Edit Flag Birthweight) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:editFlagEstimateOfGestation S 1..1 Reference(Observation - Edit Flag Estimate of Gestation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:editFlagMothersDateOfBirth S 1..1 Reference(Observation - Edit Flag Mother's Date of Birth) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:editFlagMothersEducation S 1..1 Reference(Observation - Edit Flag Mother's Education) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:editFlagMothersHeight S 1..1 Reference(Observation - Edit Flag Mother's Height) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:editFlagMothersPrepregnancyWeight S 1..1 Reference(Observation - Edit Flag Mother's Prepregnancy Weight) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:editFlagNumberPreviousCesareans S 1..1 Reference(Observation - Edit Flag Number of Previous Cesareans) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:editFlagPlurality S 1..1 Reference(Observation - Edit Flag Plurality) A reference to data that supports this section

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron