UV_Vital Records Birth and Fetal Death Reporting
1.1.0 - STU 1.1
UV_Vital Records Birth and Fetal Death Reporting
1.1.0 - STU 1.1
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
| Official URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-fetal-death-cause-or-condition | Version: 1.1.0 | |||
| Active as of 2024-07-09 | Computable Name: ConditionFetalDeathCauseOrCondition | |||
This Condition profile represents information provided by the clinician to indicate the cause or causes of the fetal death.
The type of cause or condition (code.coding) should be selected from the value set Fetal Death Cause or Condition and any further specification should be entered as free text (code.text) to fully record the provider’s view of the cause. One or more optional contained Other Significant Cause/Condition of Fetal Death profiles represent another significant cause or condition for the death of the fetus.
This profile is mapped to:
| Use Case | IJE Field# | Description | IJE Name | Field |
|---|---|---|---|---|
| Fetal Death | 180 | Initiating cause/condition - Rupture of membranes prior to onset of labor | COD18a1 | |
| Fetal Death | 189 | Initiating cause/condition - Other obstetrical or pregnancy complications literal | COD18a10 | |
| Fetal Death | 190 | Initiating cause/condition - Fetal anomaly literal | COD18a11 | |
| Fetal Death | 191 | Initiating cause/condition - Fetal injury literal | COD18a12 | |
| Fetal Death | 192 | Initiating cause/condition - Fetal infection literal | COD18a13 | |
| Fetal Death | 193 | Initiating cause/condition - Other fetal conditions/disorders literal | COD18a14 | |
| Fetal Death | 181 | Initiating cause/condition - Abruptio placenta | COD18a2 | |
| Fetal Death | 182 | Initiating cause/condition - Placental insufficiency | COD18a3 | |
| Fetal Death | 183 | Initiating cause/condition - Prolapsed cord | COD18a4 | |
| Fetal Death | 184 | Initiating cause/condition - Chorioamnionitis | COD18a5 | |
| Fetal Death | 185 | Initiating cause/condition - Other complications of placenta, cord, or membranes | COD18a6 | |
| Fetal Death | 186 | Initiating cause/condition - Unknown | COD18a7 | |
| Fetal Death | 187 | Initiating cause/condition - Maternal conditions/diseases literal | COD18a8 | |
| Fetal Death | 188 | Initiating cause/condition - Other complications of placenta, cord, or membranes literal | COD18a9 |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreConditionEncounterDiagnosisProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Condition |
0..* | USCoreConditionEncounterDiagnosisProfile | Information provided by the clinician to indicate the cause or causes of the fetal death. | |
  category |
2..* | CodeableConcept | category codes | |
  Slices for category |
Content/Rules for all slices | |||
   category:initiatingCauseOrCondition |
S | 1..1 | CodeableConcept | category codes 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: 76060-3 | |
| code |
1..1 | CodeableConcept | The value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death. Binding: Fetal Death Cause or Condition (NCHS) (required): Fetal Death Cause or Condition (NCHS) | |
| coding |
S | 0..* | Coding | The type of cause or condition should be selected from the bound value set. |
| text |
S | 0..1 | string | Any further specification should be entered as free text to fully record the provider's view of the cause. |
 subject |
1..1 | Reference(Patient - Decedent Fetus - Vital Records) | Who has the condition? | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Condition.code | required | PHVS_FetalDeathCauseOrCondition_NCHShttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7422 |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition |
C | 0..* | USCoreConditionEncounterDiagnosisProfile | Information provided by the clinician to indicate the cause or causes of the fetal death. con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
 assertedDate |
S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 clinicalStatus |
?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
| verificationStatus |
?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) |
| Slices for category |
S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. |
 category:us-core |
S | 1..1 | CodeableConcept | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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/condition-category | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: encounter-diagnosis | |
| category:initiatingCauseOrCondition |
S | 1..1 | CodeableConcept | category codes Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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: 76060-3 | |
| code |
SΣ | 1..1 | CodeableConcept | The value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death. Binding: Fetal Death Cause or Condition (NCHS) (required): Fetal Death Cause or Condition (NCHS) |
| coding |
SΣ | 0..* | Coding | The type of cause or condition should be selected from the bound value set. |
| text |
SΣ | 0..1 | string | Any further specification should be entered as free text to fully record the provider's view of the cause. |
| subject |
SΣ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | Who has the condition? |
| encounter |
SΣ | 0..1 | Reference(US Core Encounter Profile(5.0.1)) | Encounter created as part of |
 onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |
| onsetDateTime |
dateTime | |||
| abatement[x] |
SC | 0..1 | When in resolution/remission | |
| abatementDateTime |
dateTime | |||
| recordedDate |
SΣ | 0..1 | dateTime | Date record was first recorded |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinicalfrom the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-statusfrom the FHIR Standard | |
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.category:us-core | extensible | Pattern: encounter-diagnosishttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.category:initiatingCauseOrCondition | extensible | Pattern: LOINC Code 76060-3http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.code | required | PHVS_FetalDeathCauseOrCondition_NCHShttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7422 |
| Id | Grade | Path(s) | Details | Requirements |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | USCoreConditionEncounterDiagnosisProfile | Information provided by the clinician to indicate the cause or causes of the fetal death. con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| assertedDate |
S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||
| clinicalStatus |
?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) | ||||
| verificationStatus |
?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||
| Slices for category |
S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
| category:us-core |
S | 1..1 | CodeableConcept | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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/condition-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: encounter-diagnosis | |||||
| 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 | |||||
| category:initiatingCauseOrCondition |
S | 1..1 | CodeableConcept | category codes Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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: 76060-3 | |||||
| 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 | |||||
| severity |
0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
| code |
SΣ | 1..1 | CodeableConcept | The value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death. Binding: Fetal Death Cause or Condition (NCHS) (required): Fetal Death Cause or Condition (NCHS) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | The type of cause or condition should be selected from the bound value set. | ||||
| text |
SΣ | 0..1 | string | Any further specification should be entered as free text to fully record the provider's view of the cause. | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| subject |
SΣ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | Who has the condition? | ||||
| encounter |
SΣ | 0..1 | Reference(US Core Encounter Profile(5.0.1)) | Encounter created as part of | ||||
| onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
| onsetDateTime |
dateTime S | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| abatement[x] |
SC | 0..1 | When in resolution/remission | |||||
| abatementDateTime |
dateTime S | |||||||
| abatementAge |
Age | |||||||
| abatementPeriod |
Period | |||||||
| abatementRange |
Range | |||||||
| abatementString |
string | |||||||
| recordedDate |
SΣ | 0..1 | dateTime | Date record was first recorded | ||||
| recorder |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
| asserter |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
| stage |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
| 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 | ||||
| summary |
C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
| type |
0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
| evidence |
C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
| 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 | ||||
| code |
ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| detail |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
| note |
0..* | Annotation | Additional information about the Condition | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinicalfrom the FHIR Standard | ||||
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-statusfrom the FHIR Standard | ||||
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.category:us-core | extensible | Pattern: encounter-diagnosishttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.category:initiatingCauseOrCondition | extensible | Pattern: LOINC Code 76060-3http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | ||||
| Condition.code | required | PHVS_FetalDeathCauseOrCondition_NCHShttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7422 | ||||
| Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | ||||
| Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | ||||
| Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreConditionEncounterDiagnosisProfile
Differential View
This structure is derived from USCoreConditionEncounterDiagnosisProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition |
0..* | USCoreConditionEncounterDiagnosisProfile | Information provided by the clinician to indicate the cause or causes of the fetal death. | |
| category |
2..* | CodeableConcept | category codes | |
| Slices for category |
Content/Rules for all slices | |||
| category:initiatingCauseOrCondition |
S | 1..1 | CodeableConcept | category codes 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: 76060-3 | |
| code |
1..1 | CodeableConcept | The value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death. Binding: Fetal Death Cause or Condition (NCHS) (required): Fetal Death Cause or Condition (NCHS) | |
| coding |
S | 0..* | Coding | The type of cause or condition should be selected from the bound value set. |
| text |
S | 0..1 | string | Any further specification should be entered as free text to fully record the provider's view of the cause. |
| subject |
1..1 | Reference(Patient - Decedent Fetus - Vital Records) | Who has the condition? | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Condition.code | required | PHVS_FetalDeathCauseOrCondition_NCHShttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7422 |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition |
C | 0..* | USCoreConditionEncounterDiagnosisProfile | Information provided by the clinician to indicate the cause or causes of the fetal death. con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| assertedDate |
S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| clinicalStatus |
?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
| verificationStatus |
?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) |
| Slices for category |
S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. |
| category:us-core |
S | 1..1 | CodeableConcept | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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/condition-category | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: encounter-diagnosis | |
| category:initiatingCauseOrCondition |
S | 1..1 | CodeableConcept | category codes Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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: 76060-3 | |
| code |
SΣ | 1..1 | CodeableConcept | The value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death. Binding: Fetal Death Cause or Condition (NCHS) (required): Fetal Death Cause or Condition (NCHS) |
| coding |
SΣ | 0..* | Coding | The type of cause or condition should be selected from the bound value set. |
| text |
SΣ | 0..1 | string | Any further specification should be entered as free text to fully record the provider's view of the cause. |
| subject |
SΣ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | Who has the condition? |
| encounter |
SΣ | 0..1 | Reference(US Core Encounter Profile(5.0.1)) | Encounter created as part of |
| onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |
| onsetDateTime |
dateTime | |||
| abatement[x] |
SC | 0..1 | When in resolution/remission | |
| abatementDateTime |
dateTime | |||
| recordedDate |
SΣ | 0..1 | dateTime | Date record was first recorded |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinicalfrom the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-statusfrom the FHIR Standard | |
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.category:us-core | extensible | Pattern: encounter-diagnosishttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.category:initiatingCauseOrCondition | extensible | Pattern: LOINC Code 76060-3http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.code | required | PHVS_FetalDeathCauseOrCondition_NCHShttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7422 |
| Id | Grade | Path(s) | Details | Requirements |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | USCoreConditionEncounterDiagnosisProfile | Information provided by the clinician to indicate the cause or causes of the fetal death. con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| assertedDate |
S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||
| clinicalStatus |
?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) | ||||
| verificationStatus |
?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||
| Slices for category |
S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
| category:us-core |
S | 1..1 | CodeableConcept | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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/condition-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: encounter-diagnosis | |||||
| 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 | |||||
| category:initiatingCauseOrCondition |
S | 1..1 | CodeableConcept | category codes Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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: 76060-3 | |||||
| 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 | |||||
| severity |
0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
| code |
SΣ | 1..1 | CodeableConcept | The value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death. Binding: Fetal Death Cause or Condition (NCHS) (required): Fetal Death Cause or Condition (NCHS) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | The type of cause or condition should be selected from the bound value set. | ||||
| text |
SΣ | 0..1 | string | Any further specification should be entered as free text to fully record the provider's view of the cause. | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| subject |
SΣ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | Who has the condition? | ||||
| encounter |
SΣ | 0..1 | Reference(US Core Encounter Profile(5.0.1)) | Encounter created as part of | ||||
| onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
| onsetDateTime |
dateTime S | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| abatement[x] |
SC | 0..1 | When in resolution/remission | |||||
| abatementDateTime |
dateTime S | |||||||
| abatementAge |
Age | |||||||
| abatementPeriod |
Period | |||||||
| abatementRange |
Range | |||||||
| abatementString |
string | |||||||
| recordedDate |
SΣ | 0..1 | dateTime | Date record was first recorded | ||||
| recorder |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
| asserter |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
| stage |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
| 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 | ||||
| summary |
C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
| type |
0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
| evidence |
C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
| 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 | ||||
| code |
ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| detail |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
| note |
0..* | Annotation | Additional information about the Condition | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinicalfrom the FHIR Standard | ||||
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-statusfrom the FHIR Standard | ||||
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.category:us-core | extensible | Pattern: encounter-diagnosishttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.category:initiatingCauseOrCondition | extensible | Pattern: LOINC Code 76060-3http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | ||||
| Condition.code | required | PHVS_FetalDeathCauseOrCondition_NCHShttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7422 | ||||
| Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | ||||
| Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | ||||
| Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreConditionEncounterDiagnosisProfile
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ IHE International. Package ihe.qrph.bfdr#1.1.0 based on FHIR 4.0.1. Generated 2024-07-09
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