Observation - Date of First Prenatal Care Visit - UV_Vital Records Birth and Fetal Death Reporting v1.1.0

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: Observation - Date of First Prenatal Care Visit

Official URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit				Version: 1.1.0
Active as of 2024-07-09				Computable Name: ObservationDateOfFirstPrenatalCareVisit

This Observation profile represents the date of the first prenatal care visit for this pregnancy. A prenatal visit is where a physician or other health care professional examined and/or counseled the pregnant woman for the pregnancy. If this profile is not present it indicates that the mother did not receive prenatal care at any time during the pregnancy.

Form Mapping

This profile is mapped to:

Item 29a. Date Of First Prenatal Care Visit in the 2003 Revision of the U.S. Standard Certificate of Live Birth
Item 6. Date of first prenatal care visit in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
Item 23a. Date of First Prenatal Care Visit in the 2003 Revision of the U.S. Standard Report of Fetal Death
Item 6. Date of first prenatal care visit in the 2019 US Standard Facility Worksheet for the Report of Fetal Death

IJE Mapping

Use Case	IJE Field#	Description	IJE Name
Natality	127	Date of First Prenatal Care Visit–Day	DOFP_DY
Natality	126	Date of First Prenatal Care Visit–Month	DOFP_MO
Natality	128	Date of First Prenatal Care Visit–Year	DOFP_YR
Fetal Death	81	Date of First Prenatal Care Visit–Day	DOFP_DY
Fetal Death	80	Date of First Prenatal Care Visit–Month	DOFP_MO
Fetal Death	82	Date of First Prenatal Care Visit–Year	DOFP_YR

Use Case

IJE Field#

Description

IJE Name

Field

Natality

127

Date of First Prenatal Care Visit–Day

DOFP_DY

Natality

126

Date of First Prenatal Care Visit–Month

DOFP_MO

Natality

128

Date of First Prenatal Care Visit–Year

DOFP_YR

Fetal Death

81

Date of First Prenatal Care Visit–Day

DOFP_DY

Fetal Death

80

Date of First Prenatal Care Visit–Month

DOFP_MO

Fetal Death

82

Date of First Prenatal Care Visit–Year

DOFP_YR

Usage:

Refer to this Resource Profile: Composition - Jurisdiction Fetal Death Report, Composition - Jurisdiction Live Birth Report, Composition - Provider Fetal Death Report and Composition - Provider Live Birth Report
Examples for this Resource Profile: Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee and Observation/observation-date-of-first-prenatal-care-visit-jada-ann-quinn

Formal Views of Profile Content

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

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
code	S	1..1	CodeableConcept	Date of first prenatal care visit 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: 69044-6
subject	S	1..1	Reference(Patient - Mother - Vital Records)	Who and/or what the observation is about
focus	S	1..1	Reference(Patient - Child - Vital Records \| Patient - Decedent Fetus - Vital Records)	What the observation is about, when it is not about the subject of record
value[x]	S	1..1	dateTime	Date of first prenatal care visit
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣ	1..1	CodeableConcept	Date of first prenatal care visit Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 69044-6
subject	SΣ	1..1	Reference(Patient - Mother - Vital Records)	Who and/or what the observation is about
focus	SΣ	1..1	Reference(Patient - Child - Vital Records \| Patient - Decedent Fetus - Vital Records)	What the observation is about, when it is not about the subject of record
value[x]	SΣC	1..1	dateTime	Date of first prenatal care visit
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status\|4.0.1` from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 69044-6 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Description & Constraints

Observation

C

0..*

Observation

Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present

id

Σ

0..1

id

Logical id of this artifact

Terminology Bindings

Path Conformance ValueSet / Code URI

Observation.language

preferred

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Observation.status

required

ObservationStatus

http://hl7.org/fhir/ValueSet/observation-status|4.0.1

from the FHIR Standard

Observation.category

preferred

ObservationCategoryCodes

http://hl7.org/fhir/ValueSet/observation-category

from the FHIR Standard

Observation.code

example

Pattern: LOINC Code 69044-6

http://hl7.org/fhir/ValueSet/observation-codes

from the FHIR Standard

Observation.dataAbsentReason

extensible

DataAbsentReason

http://hl7.org/fhir/ValueSet/data-absent-reason

from the FHIR Standard

Observation.interpretation

extensible

ObservationInterpretationCodes

http://hl7.org/fhir/ValueSet/observation-interpretation

from the FHIR Standard

Observation.bodySite

example

SNOMEDCTBodyStructures

http://hl7.org/fhir/ValueSet/body-site

from the FHIR Standard

Observation.method

example

ObservationMethods

http://hl7.org/fhir/ValueSet/observation-methods

from the FHIR Standard

Observation.referenceRange.type

preferred

ObservationReferenceRangeMeaningCodes

http://hl7.org/fhir/ValueSet/referencerange-meaning

from the FHIR Standard

Observation.referenceRange.appliesTo

example

ObservationReferenceRangeAppliesToCodes

http://hl7.org/fhir/ValueSet/referencerange-appliesto

from the FHIR Standard

Observation.component.code

example

LOINCCodes (a valid code from LOINC)

http://hl7.org/fhir/ValueSet/observation-codes

from the FHIR Standard

Observation.component.dataAbsentReason

extensible

DataAbsentReason

http://hl7.org/fhir/ValueSet/data-absent-reason

from the FHIR Standard

Observation.component.interpretation

extensible

ObservationInterpretationCodes

http://hl7.org/fhir/ValueSet/observation-interpretation

from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 4 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
code	S	1..1	CodeableConcept	Date of first prenatal care visit 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: 69044-6
subject	S	1..1	Reference(Patient - Mother - Vital Records)	Who and/or what the observation is about
focus	S	1..1	Reference(Patient - Child - Vital Records \| Patient - Decedent Fetus - Vital Records)	What the observation is about, when it is not about the subject of record
value[x]	S	1..1	dateTime	Date of first prenatal care visit
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣ	1..1	CodeableConcept	Date of first prenatal care visit Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 69044-6
subject	SΣ	1..1	Reference(Patient - Mother - Vital Records)	Who and/or what the observation is about
focus	SΣ	1..1	Reference(Patient - Child - Vital Records \| Patient - Decedent Fetus - Vital Records)	What the observation is about, when it is not about the subject of record
value[x]	SΣC	1..1	dateTime	Date of first prenatal care visit
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status\|4.0.1` from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 69044-6 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

Description & Constraints

Observation

C

0..*

Observation

Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present

id

Σ

0..1

id

Logical id of this artifact

Terminology Bindings

Path Conformance ValueSet / Code URI

Observation.language

preferred

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Observation.status

required

ObservationStatus

http://hl7.org/fhir/ValueSet/observation-status|4.0.1

from the FHIR Standard

Observation.category

preferred

ObservationCategoryCodes

http://hl7.org/fhir/ValueSet/observation-category

from the FHIR Standard

Observation.code

example

Pattern: LOINC Code 69044-6

http://hl7.org/fhir/ValueSet/observation-codes

from the FHIR Standard

Observation.dataAbsentReason

extensible

DataAbsentReason

http://hl7.org/fhir/ValueSet/data-absent-reason

from the FHIR Standard

Observation.interpretation

extensible

ObservationInterpretationCodes

http://hl7.org/fhir/ValueSet/observation-interpretation

from the FHIR Standard

Observation.bodySite

example

SNOMEDCTBodyStructures

http://hl7.org/fhir/ValueSet/body-site

from the FHIR Standard

Observation.method

example

ObservationMethods

http://hl7.org/fhir/ValueSet/observation-methods

from the FHIR Standard

Observation.referenceRange.type

preferred

ObservationReferenceRangeMeaningCodes

http://hl7.org/fhir/ValueSet/referencerange-meaning

from the FHIR Standard

Observation.referenceRange.appliesTo

example

ObservationReferenceRangeAppliesToCodes

http://hl7.org/fhir/ValueSet/referencerange-appliesto

from the FHIR Standard

Observation.component.code

example

LOINCCodes (a valid code from LOINC)

http://hl7.org/fhir/ValueSet/observation-codes

from the FHIR Standard

Observation.component.dataAbsentReason

extensible

DataAbsentReason

http://hl7.org/fhir/ValueSet/data-absent-reason

from the FHIR Standard

Observation.component.interpretation

extensible

ObservationInterpretationCodes

http://hl7.org/fhir/ValueSet/observation-interpretation

from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 4 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

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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