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

## Resource Profile: Composition - Provider Fetal Death Report

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

This Composition profile contains constraints to address the use case describing the need for fetal death information to be recorded and communicated to the jurisdictional Vital Records Office.

For the most part, labor and delivery takes place at a healthcare provider site. When the delivery takes place at home, or on the way to the hospital, the mother and fetus will be taken to the hospital for evaluation and possible treatment. Personal and pregnancy information is collected from the mother or an informant, while information regarding labor and delivery and the fetus is collected from the responsible party at the healthcare facility.

The data requirements for provider supplied fetal death information are based on the

- 2003 Revision of the U.S. Standard Report of Fetal Death
- 2019 US Standard Facility Worksheet for the Report of Fetal Death
- 2019 US Standard Patient’s Worksheet for the Report of Fetal Death

The jurisdiction may have additional data requirements and edit specifications that will be addressed at the jurisdictional level.

The 1992 Revision of the Model State Vital Statistics Act and Regulations recommends the following definition of fetal death:

> “Fetal death” means death prior to the complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of pregnancy and which is not an induced termination of pregnancy. The death is indicated by the fact that after such expulsion or extraction, the fetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles. Heartbeats are to be distinguished from transient cardiac contractions; respirations are to be distinguished from fleeting respiratory efforts or gasps.

See Patient Worksheet Questionnaires for information about including a QuestionnaireResponse in this Composition.

Usage:

- Use this Resource Profile: Bundle - Document Birth and Fetal Death
- Examples for this Resource Profile: Composition/composition-provider-fetal-death-not-named

### Formal Views of Profile Content

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

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

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension | S | 1..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 0..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 | U.S. standard report of fetal death - 2003 revision 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: 69045-3
subject | S | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the name of the decedent fetus.
encounter | S | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
Extension-encounter-maternity-reference |  | 0..* | Reference(Encounter - Maternity) | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-encounter-maternity-reference
date | S | 1..1 | dateTime | Date report completed
author | S | 1..1 | Reference(Practitioner - Vital Records) | The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
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: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the mother's name, address, dob, birthplace, race, and ethnicity.
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: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:mothersPrepregnancyWeight | S | 0..1 | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | Mother's prepregnancy weight: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:motherReceivedWICFood | S | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use of the WIC nutritional program by the mother: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:cigaretteSmokingBeforeDuringPregnancy | S | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
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 | 1..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 motherInformation 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: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
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: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the father's name, dob, and birthplace.
section:patientsQuestionnaireResponse |  | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
code |  | 1..1 | CodeableConcept | Questionnaire response 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: 74465-6
entry |  | 1..1 | Reference(QuestionnaireResponse) | QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension | S | 1..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 0..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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | U.S. standard report of fetal death - 2003 revision Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 69045-3
subject | S Σ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the name of the decedent fetus.
encounter | S Σ | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
Extension-encounter-maternity-reference |  | 0..* | Reference(Encounter - Maternity) | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
date | S Σ | 1..1 | dateTime | Date report completed
author | S Σ | 1..1 | Reference(Practitioner - Vital Records) | The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
title | Σ | 1..1 | string | Human Readable name/title
Slices for section | S C | 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 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
section:motherPrenatal | S C | 0..1 | BackboneElement | Mother (prenatal) section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 57073-9
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the mother's name, address, dob, birthplace, race, and ethnicity.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome | S C | 0..1 | Reference(Observation - Planned to Deliver at Home) | Planned to deliver at home
entry:firstPrenatalCareVisit | S C | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit
entry:dateLastNormalMenses | S C | 0..1 | Reference(Observation - Last Menstrual Period - Vital Records) | Date last normal menses began
entry:numberNowLiving | S C | 0..1 | Reference(Observation - Number of Births Now Living - Vital Records) | Number of previous live births now living
entry:numberNowDead | S C | 0..1 | Reference(Observation - Number of Births Now Dead - Vital Records) | Number of previous live births now dead
entry:dateLastLiveBirth | S C | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth
entry:mothersHeight | S C | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:mothersPrepregnancyWeight | S C | 0..1 | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | Mother's prepregnancy weight: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:motherReceivedWICFood | S C | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use of the WIC nutritional program by the mother: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:cigaretteSmokingBeforeDuringPregnancy | S C | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
section:medicalHealthInformation | S C | 0..1 | BackboneElement | Medical and Health Information section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 55752-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S C | 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 C | 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 C | 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 C | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:finalRouteMethodDelivery | S C | 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 C | 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 C | 0..1 | BackboneElement | fetus section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Fetal delivery information Document [US Standard Report of Fetal Death] Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 76400-1
Slices for entry | S C | 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 C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Delivery weight
Slices for entry |  |  |  | Content/Rules for all slices
entry:gestationalAgeAtDelivery | S C | 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 C | 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 C | 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 C | 1..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 C | 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 C | 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 C | 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 C | 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 C | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) | Number of fetal deaths this delivery
section:motherInformation | S C | 0..1 | BackboneElement | Mother administrative section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 92014-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the motherInformation section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Mother's education: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
section:fatherInformation | S C | 0..1 | BackboneElement | Father section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 92013-2
focus | S | 1..1 | Reference(RelatedPerson - Father Natural - Vital Records) | The focus of this section is the father: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the father's name, dob, and birthplace.
section:patientsQuestionnaireResponse | C | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Questionnaire response Document Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 74465-6
entry | C | 1..1 | Reference(QuestionnaireResponse) | QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` from the FHIR Standard
Composition.type | preferred | Pattern: LOINC Code 69045-3 `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.section:motherPrenatal.code | example | Pattern: LOINC Code 57073-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:medicalHealthInformation.code | example | Pattern: LOINC Code 55752-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fetus.code | example | Pattern: LOINC Code 76400-1 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherInformation.code | example | Pattern: LOINC Code 92014-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fatherInformation.code | example | Pattern: LOINC Code 92013-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.code | example | Pattern: LOINC Code 74465-6 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
cmp-1 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:patientsQuestionnaireResponse | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:patientsQuestionnaireResponse | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Composition | 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
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension | S | 1..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 0..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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition
status | ?!S Σ | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | U.S. standard report of fetal death - 2003 revision Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 69045-3
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
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the name of the decedent fetus.
encounter | S Σ | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
id |  | 0..1 | string | Unique id for inter-element referencing
Extension-encounter-maternity-reference |  | 0..* | Reference(Encounter - Maternity) | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
date | S Σ | 1..1 | dateTime | Date report completed
author | S Σ | 1..1 | Reference(Practitioner - Vital Records) | The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
title | Σ | 1..1 | string | Human Readable name/title
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
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
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the composition was attested
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
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 |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
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 | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | S C | 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 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:motherPrenatal | S C | 0..1 | BackboneElement | Mother (prenatal) section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 57073-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the mother's name, address, dob, birthplace, race, and ethnicity.
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:plannedToDeliverAtHome | S C | 0..1 | Reference(Observation - Planned to Deliver at Home) | Planned to deliver at home
Slices for entry |  |  |  | Content/Rules for all slices
entry:firstPrenatalCareVisit | S C | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit
Slices for entry |  |  |  | Content/Rules for all slices
entry:dateLastNormalMenses | S C | 0..1 | Reference(Observation - Last Menstrual Period - Vital Records) | Date last normal menses began
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberNowLiving | S C | 0..1 | Reference(Observation - Number of Births Now Living - Vital Records) | Number of previous live births now living
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberNowDead | S C | 0..1 | Reference(Observation - Number of Births Now Dead - Vital Records) | Number of previous live births now dead
Slices for entry |  |  |  | Content/Rules for all slices
entry:dateLastLiveBirth | S C | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersHeight | S C | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersPrepregnancyWeight | S C | 0..1 | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | Mother's prepregnancy weight: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:motherReceivedWICFood | S C | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use of the WIC nutritional program by the mother: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:cigaretteSmokingBeforeDuringPregnancy | S C | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:medicalHealthInformation | S C | 0..1 | BackboneElement | Medical and Health Information section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 55752-0
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
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 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 C | 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 C | 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 C | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:finalRouteMethodDelivery | S C | 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 C | 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)
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:fetus | S C | 0..1 | BackboneElement | fetus section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Fetal delivery information Document [US Standard Report of Fetal Death] Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 76400-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 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 C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Delivery weight
Slices for entry |  |  |  | Content/Rules for all slices
entry:gestationalAgeAtDelivery | S C | 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 C | 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 C | 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 C | 1..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 C | 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 C | 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 C | 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 C | 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 C | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) | Number of fetal deaths this delivery
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:motherInformation | S C | 0..1 | BackboneElement | Mother administrative section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 92014-0
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
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the motherInformation section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Mother's education: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:fatherInformation | S C | 0..1 | BackboneElement | Father section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 92013-2
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
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(RelatedPerson - Father Natural - Vital Records) | The focus of this section is the father: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the father's name, dob, and birthplace.
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:patientsQuestionnaireResponse | C | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Questionnaire response Document Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 74465-6
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
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 1..1 | Reference(QuestionnaireResponse) | QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` from the FHIR Standard
Composition.type | preferred | Pattern: LOINC Code 69045-3 `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.category | example | DocumentClassValueSet `http://hl7.org/fhir/ValueSet/document-classcodes` from the FHIR Standard
Composition.encounter.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Composition.confidentiality | required | v3.ConfidentialityClassification `http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26` from the FHIR Standard
Composition.attester.mode | required | CompositionAttestationMode `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` from the FHIR Standard
Composition.relatesTo.code | required | DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` from the FHIR Standard
Composition.event.code | example | ActCode `http://terminology.hl7.org/ValueSet/v3-ActCode`
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:motherPrenatal.code | example | Pattern: LOINC Code 57073-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherPrenatal.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:motherPrenatal.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:motherPrenatal.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:medicalHealthInformation.code | example | Pattern: LOINC Code 55752-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:medicalHealthInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:medicalHealthInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:medicalHealthInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:fetus.code | example | Pattern: LOINC Code 76400-1 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fetus.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:fetus.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:fetus.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:motherInformation.code | example | Pattern: LOINC Code 92014-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:motherInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:motherInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:fatherInformation.code | example | Pattern: LOINC Code 92013-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fatherInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:fatherInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:fatherInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.code | example | Pattern: LOINC Code 74465-6 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
cmp-1 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:patientsQuestionnaireResponse | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:patientsQuestionnaireResponse | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Composition | 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 Composition

Summary

Mandatory: 4 elements(16 nested mandatory elements)
Must-Support: 56 elements

Structures

This structure refers to these other structures:

- Patient - Decedent Fetus - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-decedent-fetus-vr)
- Encounter - Maternity (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Encounter-maternity)
- Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
- Patient - Mother - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr)
- Observation - Planned to Deliver at Home (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-planned-to-deliver-at-home)
- Observation - Date of First Prenatal Care Visit (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit)
- Observation - Last Menstrual Period - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-last-menstrual-period-vr)
- Observation - Number of Births Now Living - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-living-vr)
- Observation - Number of Births Now Dead - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-dead-vr)
- Observation - Date of Last Live Birth (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-date-of-last-live-birth)
- Observation - Mother Height - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-height-vr)
- Observation - Mother Prepregnancy Weight - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-prepregnancy-weight-vr)
- Observation - Mother Recieved WIC Food (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-mother-received-wic-food)
- Observation - Cigarette Smoking Before and During Pregnancy (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy)
- Condition - Prepregnancy Diabetes - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-prepregnancy-diabetes-vr)
- Condition - Gestational Diabetes - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-gestational-diabetes-vr)
- Condition - Prepregnancy Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-prepregnancy-hypertension-vr)
- Condition - Gestational Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-gestational-hypertension-vr)
- Condition - Eclampsia Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-eclampsia-hypertension-vr)
- Observation - Previous Preterm Birth - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-previous-preterm-birth-vr)
- Procedure - Infertility Treatment - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-infertility-treatment-vr)
- Procedure - Artificial Insemination - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-artificial-insemination-vr)
- Procedure - Assisted Fertilization - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-assisted-fertilization-vr)
- Observation - Previous Cesarean - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-previous-cesarean-vr)
- Observation - None Of Specified Pregnancy Risk Factors - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-none-of-specified-pregnancy-risk-factors-vr)
- Observation - Number of Previous Cesareans - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-previous-cesareans-vr)
- Observation - Fetal Presentation at Birth/Delivery (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-fetal-presentation)
- Procedure - Final Route and Method of Delivery (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-final-route-method-delivery)
- Procedure - Blood Transfusion (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-blood-transfusion)
- Condition - Perineal Laceration (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-perineal-laceration)
- Condition - Ruptured Uterus (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-ruptured-uterus)
- Procedure - Unplanned Hysterectomy (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-unplanned-hysterectomy)
- Observation - ICU Admission (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-icu-admission)
- Observation - None Of Specified Maternal Morbidities (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-none-of-specified-maternal-morbidities)
- Observation - Birth Weight - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-birth-weight-vr)
- Observation - Gestational Age at Delivery - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-gestational-age-at-delivery-vr)
- Condition - Fetal Death Cause or Condition (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-fetal-death-cause-or-condition)
- Condition - Fetal Death Other Cause or Condition (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-fetal-death-other-cause-or-condition)
- Observation - Fetal Death Time Point (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-estimated-fetal-death-time-point)
- Observation - Autopsy Performed Indicator - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-autopsy-performed-indicator-vr)
- Observation - Histological Placental Exam Performed (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-histological-placental-exam-performed)
- Observation - Autopsy or Histological Exam Results Used (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-autopsy-histological-exam-results-used)
- Observation - Number of Live Births This Delivery - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-live-births-this-delivery-vr)
- Observation - Number of Fetal Deaths This Delivery - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-fetal-deaths-this-delivery-vr)
- Observation - Parent Education Level - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level-vr)
- RelatedPerson - Father Natural - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr)

Extensions

This structure refers to these extensions:

- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-report-number
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-received-by-registrar
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-replacement-status
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-encounter-maternity-reference

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Differential View

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension | S | 1..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 0..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 | U.S. standard report of fetal death - 2003 revision 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: 69045-3
subject | S | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the name of the decedent fetus.
encounter | S | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
Extension-encounter-maternity-reference |  | 0..* | Reference(Encounter - Maternity) | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-encounter-maternity-reference
date | S | 1..1 | dateTime | Date report completed
author | S | 1..1 | Reference(Practitioner - Vital Records) | The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
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: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the mother's name, address, dob, birthplace, race, and ethnicity.
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: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:mothersPrepregnancyWeight | S | 0..1 | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | Mother's prepregnancy weight: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:motherReceivedWICFood | S | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use of the WIC nutritional program by the mother: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:cigaretteSmokingBeforeDuringPregnancy | S | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
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 | 1..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 motherInformation 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: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
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: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the father's name, dob, and birthplace.
section:patientsQuestionnaireResponse |  | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
code |  | 1..1 | CodeableConcept | Questionnaire response 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: 74465-6
entry |  | 1..1 | Reference(QuestionnaireResponse) | QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension | S | 1..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 0..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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | U.S. standard report of fetal death - 2003 revision Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 69045-3
subject | S Σ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the name of the decedent fetus.
encounter | S Σ | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
Extension-encounter-maternity-reference |  | 0..* | Reference(Encounter - Maternity) | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
date | S Σ | 1..1 | dateTime | Date report completed
author | S Σ | 1..1 | Reference(Practitioner - Vital Records) | The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
title | Σ | 1..1 | string | Human Readable name/title
Slices for section | S C | 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 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
section:motherPrenatal | S C | 0..1 | BackboneElement | Mother (prenatal) section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 57073-9
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the mother's name, address, dob, birthplace, race, and ethnicity.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome | S C | 0..1 | Reference(Observation - Planned to Deliver at Home) | Planned to deliver at home
entry:firstPrenatalCareVisit | S C | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit
entry:dateLastNormalMenses | S C | 0..1 | Reference(Observation - Last Menstrual Period - Vital Records) | Date last normal menses began
entry:numberNowLiving | S C | 0..1 | Reference(Observation - Number of Births Now Living - Vital Records) | Number of previous live births now living
entry:numberNowDead | S C | 0..1 | Reference(Observation - Number of Births Now Dead - Vital Records) | Number of previous live births now dead
entry:dateLastLiveBirth | S C | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth
entry:mothersHeight | S C | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:mothersPrepregnancyWeight | S C | 0..1 | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | Mother's prepregnancy weight: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:motherReceivedWICFood | S C | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use of the WIC nutritional program by the mother: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
entry:cigaretteSmokingBeforeDuringPregnancy | S C | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
section:medicalHealthInformation | S C | 0..1 | BackboneElement | Medical and Health Information section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 55752-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S C | 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 C | 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 C | 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 C | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:finalRouteMethodDelivery | S C | 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 C | 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 C | 0..1 | BackboneElement | fetus section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Fetal delivery information Document [US Standard Report of Fetal Death] Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 76400-1
Slices for entry | S C | 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 C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Delivery weight
Slices for entry |  |  |  | Content/Rules for all slices
entry:gestationalAgeAtDelivery | S C | 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 C | 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 C | 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 C | 1..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 C | 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 C | 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 C | 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 C | 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 C | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) | Number of fetal deaths this delivery
section:motherInformation | S C | 0..1 | BackboneElement | Mother administrative section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 92014-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the motherInformation section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Mother's education: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
section:fatherInformation | S C | 0..1 | BackboneElement | Father section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 92013-2
focus | S | 1..1 | Reference(RelatedPerson - Father Natural - Vital Records) | The focus of this section is the father: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the father's name, dob, and birthplace.
section:patientsQuestionnaireResponse | C | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Questionnaire response Document Binding: DocumentSectionCodes (example): Classification of a section of a composition/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: 74465-6
entry | C | 1..1 | Reference(QuestionnaireResponse) | QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` from the FHIR Standard
Composition.type | preferred | Pattern: LOINC Code 69045-3 `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.section:motherPrenatal.code | example | Pattern: LOINC Code 57073-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:medicalHealthInformation.code | example | Pattern: LOINC Code 55752-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fetus.code | example | Pattern: LOINC Code 76400-1 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherInformation.code | example | Pattern: LOINC Code 92014-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fatherInformation.code | example | Pattern: LOINC Code 92013-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.code | example | Pattern: LOINC Code 74465-6 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
cmp-1 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:patientsQuestionnaireResponse | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:patientsQuestionnaireResponse | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Composition | 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
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension | S | 1..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 0..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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition
status | ?!S Σ | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | U.S. standard report of fetal death - 2003 revision Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 69045-3
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
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the name of the decedent fetus.
encounter | S Σ | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
id |  | 0..1 | string | Unique id for inter-element referencing
Extension-encounter-maternity-reference |  | 0..* | Reference(Encounter - Maternity) | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
date | S Σ | 1..1 | dateTime | Date report completed
author | S Σ | 1..1 | Reference(Practitioner - Vital Records) | The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
title | Σ | 1..1 | string | Human Readable name/title
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
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
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the composition was attested
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
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 |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
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 | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | S C | 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 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:motherPrenatal | S C | 0..1 | BackboneElement | Mother (prenatal) section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 57073-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the mother's name, address, dob, birthplace, race, and ethnicity.
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:plannedToDeliverAtHome | S C | 0..1 | Reference(Observation - Planned to Deliver at Home) | Planned to deliver at home
Slices for entry |  |  |  | Content/Rules for all slices
entry:firstPrenatalCareVisit | S C | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit
Slices for entry |  |  |  | Content/Rules for all slices
entry:dateLastNormalMenses | S C | 0..1 | Reference(Observation - Last Menstrual Period - Vital Records) | Date last normal menses began
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberNowLiving | S C | 0..1 | Reference(Observation - Number of Births Now Living - Vital Records) | Number of previous live births now living
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberNowDead | S C | 0..1 | Reference(Observation - Number of Births Now Dead - Vital Records) | Number of previous live births now dead
Slices for entry |  |  |  | Content/Rules for all slices
entry:dateLastLiveBirth | S C | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersHeight | S C | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersPrepregnancyWeight | S C | 0..1 | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | Mother's prepregnancy weight: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:motherReceivedWICFood | S C | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use of the WIC nutritional program by the mother: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:cigaretteSmokingBeforeDuringPregnancy | S C | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:medicalHealthInformation | S C | 0..1 | BackboneElement | Medical and Health Information section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 55752-0
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
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 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 C | 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 C | 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 C | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:finalRouteMethodDelivery | S C | 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 C | 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)
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:fetus | S C | 0..1 | BackboneElement | fetus section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Fetal delivery information Document [US Standard Report of Fetal Death] Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 76400-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 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 C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Delivery weight
Slices for entry |  |  |  | Content/Rules for all slices
entry:gestationalAgeAtDelivery | S C | 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 C | 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 C | 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 C | 1..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 C | 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 C | 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 C | 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 C | 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 C | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) | Number of fetal deaths this delivery
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:motherInformation | S C | 0..1 | BackboneElement | Mother administrative section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 92014-0
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
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the motherInformation section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Mother's education: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for this data element.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:fatherInformation | S C | 0..1 | BackboneElement | Father section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 92013-2
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
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(RelatedPerson - Father Natural - Vital Records) | The focus of this section is the father: the "US Standard Patient’s Worksheet for the Report of Fetal Death" should be the source of truth for the father's name, dob, and birthplace.
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:patientsQuestionnaireResponse | C | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Questionnaire response Document Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 74465-6
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
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 1..1 | Reference(QuestionnaireResponse) | QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` from the FHIR Standard
Composition.type | preferred | Pattern: LOINC Code 69045-3 `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.category | example | DocumentClassValueSet `http://hl7.org/fhir/ValueSet/document-classcodes` from the FHIR Standard
Composition.encounter.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Composition.confidentiality | required | v3.ConfidentialityClassification `http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26` from the FHIR Standard
Composition.attester.mode | required | CompositionAttestationMode `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` from the FHIR Standard
Composition.relatesTo.code | required | DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` from the FHIR Standard
Composition.event.code | example | ActCode `http://terminology.hl7.org/ValueSet/v3-ActCode`
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:motherPrenatal.code | example | Pattern: LOINC Code 57073-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherPrenatal.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:motherPrenatal.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:motherPrenatal.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:medicalHealthInformation.code | example | Pattern: LOINC Code 55752-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:medicalHealthInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:medicalHealthInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:medicalHealthInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:fetus.code | example | Pattern: LOINC Code 76400-1 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fetus.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:fetus.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:fetus.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:motherInformation.code | example | Pattern: LOINC Code 92014-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:motherInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:motherInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:fatherInformation.code | example | Pattern: LOINC Code 92013-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fatherInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:fatherInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:fatherInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.code | example | Pattern: LOINC Code 74465-6 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
cmp-1 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:patientsQuestionnaireResponse | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:patientsQuestionnaireResponse | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Composition | 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 Composition

Summary

Mandatory: 4 elements(16 nested mandatory elements)
Must-Support: 56 elements

Structures

This structure refers to these other structures:

- Patient - Decedent Fetus - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-decedent-fetus-vr)
- Encounter - Maternity (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Encounter-maternity)
- Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
- Patient - Mother - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr)
- Observation - Planned to Deliver at Home (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-planned-to-deliver-at-home)
- Observation - Date of First Prenatal Care Visit (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit)
- Observation - Last Menstrual Period - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-last-menstrual-period-vr)
- Observation - Number of Births Now Living - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-living-vr)
- Observation - Number of Births Now Dead - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-dead-vr)
- Observation - Date of Last Live Birth (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-date-of-last-live-birth)
- Observation - Mother Height - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-height-vr)
- Observation - Mother Prepregnancy Weight - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-prepregnancy-weight-vr)
- Observation - Mother Recieved WIC Food (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-mother-received-wic-food)
- Observation - Cigarette Smoking Before and During Pregnancy (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy)
- Condition - Prepregnancy Diabetes - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-prepregnancy-diabetes-vr)
- Condition - Gestational Diabetes - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-gestational-diabetes-vr)
- Condition - Prepregnancy Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-prepregnancy-hypertension-vr)
- Condition - Gestational Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-gestational-hypertension-vr)
- Condition - Eclampsia Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-eclampsia-hypertension-vr)
- Observation - Previous Preterm Birth - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-previous-preterm-birth-vr)
- Procedure - Infertility Treatment - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-infertility-treatment-vr)
- Procedure - Artificial Insemination - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-artificial-insemination-vr)
- Procedure - Assisted Fertilization - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-assisted-fertilization-vr)
- Observation - Previous Cesarean - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-previous-cesarean-vr)
- Observation - None Of Specified Pregnancy Risk Factors - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-none-of-specified-pregnancy-risk-factors-vr)
- Observation - Number of Previous Cesareans - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-previous-cesareans-vr)
- Observation - Fetal Presentation at Birth/Delivery (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-fetal-presentation)
- Procedure - Final Route and Method of Delivery (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-final-route-method-delivery)
- Procedure - Blood Transfusion (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-blood-transfusion)
- Condition - Perineal Laceration (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-perineal-laceration)
- Condition - Ruptured Uterus (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-ruptured-uterus)
- Procedure - Unplanned Hysterectomy (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-unplanned-hysterectomy)
- Observation - ICU Admission (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-icu-admission)
- Observation - None Of Specified Maternal Morbidities (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-none-of-specified-maternal-morbidities)
- Observation - Birth Weight - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-birth-weight-vr)
- Observation - Gestational Age at Delivery - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-gestational-age-at-delivery-vr)
- Condition - Fetal Death Cause or Condition (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-fetal-death-cause-or-condition)
- Condition - Fetal Death Other Cause or Condition (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-fetal-death-other-cause-or-condition)
- Observation - Fetal Death Time Point (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-estimated-fetal-death-time-point)
- Observation - Autopsy Performed Indicator - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-autopsy-performed-indicator-vr)
- Observation - Histological Placental Exam Performed (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-histological-placental-exam-performed)
- Observation - Autopsy or Histological Exam Results Used (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-autopsy-histological-exam-results-used)
- Observation - Number of Live Births This Delivery - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-live-births-this-delivery-vr)
- Observation - Number of Fetal Deaths This Delivery - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-fetal-deaths-this-delivery-vr)
- Observation - Parent Education Level - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level-vr)
- RelatedPerson - Father Natural - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr)

Extensions

This structure refers to these extensions:

- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-report-number
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-received-by-registrar
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-replacement-status
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-encounter-maternity-reference

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Other representations of profile: CSV, Excel, Schematron