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 Live Birth Report

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

This Composition profile defines constraints to address the use case in which information for live birth information is recorded and communicated to the jurisdictional Vital Records Office.

For the most part, labor and delivery takes place at a healthcare provider site. When a baby is delivered at home, or on the way to the hospital, the mother and baby are typically 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 condition of the newborn is collected from the responsible party at the healthcare facility.

The data requirements for provider supplied live birth information are based on the

- 2003 Revision of the U.S. Standard Certificate of Birth
- 2016 US Standard Facility Worksheet for the Live Birth Certificate
- 2016 US Standard Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births
- 2016 US Standard Mothers Worksheet for Child’s Birth Certificate

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

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-live-birth-babyg-quinn

### 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 | Provider Live Birth Report
Slices for extension | S | 1..* | Extension | Extension Slice: Unordered, Open by value:url
liveBirthCertificateNumber | S | 0..1 | Identifier | Birth Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar | S | 1..1 | dateTime | Date filed by registrar URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-filed-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 live birth sent in error, a status of 'entered-in-error' must be set.
type | S | 1..1 | CodeableConcept | U.S. standard certificate of live birth - 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: 68998-4
subject | S | 1..1 | Reference(Patient - Child - Vital Records) | The subject of the composition is the newborn baby: the "US Standard Mothers Worksheet for Child’s Birth Certificate" should be the source of truth for the baby's name.
encounter | S | 0..1 | Reference(Encounter - Birth) | The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference |  | 0..1 | Reference(Encounter - Maternity) | The Encounter is the maternity encounter. 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 Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:motherPrenatal | S | 0..1 | BackboneElement | Mother (prenatal) section on the Live Birth Certificate
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 Mothers Worksheet for Child’s Birth Certificate" 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:numberPrenatalCareVisits | S | 0..1 | Reference(Observation - Number of Prenatal Visits - Vital Records) | Number of prenatal care visits
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:numberOtherOutcomes | S | 0..1 | Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records) | Number of other pregnancy outcomes
entry:dateLastOtherOutcome | S | 0..1 | Reference(Observation - Date of Last Other Pregnancy Outcome) | Date of last other pregnancy outcome
entry:principalSourceOfPayment | S | 0..1 | Reference(Coverage - Principal Payer for Delivery) | Principal source of payment for this delivery
entry:mothersWeightAtDelivery | S | 0..1 | Reference(Observation - Mother Delivery Weight - Vital Records) | Mother's weight at delivery
entry:mothersHeight | S | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height: the "US Standard Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mothers Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
section:medicalHealthInformation | S | 0..1 | BackboneElement | Medical and Health Information section on the Live Birth Certificate
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: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the infertility treatment, artificial insemination, and assisted fertilization data elements.
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:infectionsDuringPregnancy | S | 0..* | Reference(Condition - Infection Present During Pregnancy) | Infections present and/or treated during this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:obstetricProcedures | S | 1..1 | Reference(Procedure - Obstetric) | Obstetric procedures
Slices for entry |  |  |  | Content/Rules for all slices
entry:characteristicsLaborDelivery | S | 0..* | Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery) | Characteristics of labor and delivery
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:newbornInformation | S | 0..1 | BackboneElement | Newborn section on the Live Birth Certificate
code | S | 1..1 | CodeableConcept | Newborn delivery 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: 57075-4
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:birthWeight | S | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Birthweight
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:ApgarScore | S | 0..2 | Reference(Observation - Apgar Score - Vital Records) | Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
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:abnormalConditionsNewborn | S | 0..* | Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn) | Abnormal conditions of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:congenitalAnomaliesNewborn | S | 0..* | Reference(Condition - Congenital Anomaly of Newborn) | Congenital anomolies of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantLiving | S | 0..1 | Reference(Observation - Infant Living - Vital Records) | Is infant living at time of report?
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantBreastfedAtDischarge | S | 0..1 | Reference(Observation - Infant Breastfed at Discharge) | Is infant being breastfed at discharge?
section:motherInformation | S | 0..1 | BackboneElement | Composition is broken into sections
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) | Who/what the section is about, when it is not about the subject of composition
Slices for entry | S | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:marriedDuringPregnancy | S | 0..1 | Reference(Observation - Mother Married During Pregnancy) | Mother married during pregnancy: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:ssnRequestedForChild | S | 0..1 | Reference(Observation - Social Security Number Requested For Child) | Was social security number requested for the child: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
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 Mother's Worksheet for Child’s Birth Certificate should be the source of truth for this data element.
section:fatherInformation | S | 0..1 | BackboneElement | Father section on the Live Birth Certificate
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 Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the father's name, dob, birthplace, ssn, race, and ethncity.
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:paternityAcknowledgementSigned | S | 0..1 | Reference(Observation - Paternity Acknowledgement Signed) | Paternity acknowledgement signed by father: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:fathersEducation | S | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Father's education: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
section:patientsQuestionnaireResponse |  | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
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 | Provider Live Birth Report
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
liveBirthCertificateNumber | S | 0..1 | Identifier | Birth Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar | S | 1..1 | dateTime | Date filed by registrar URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-filed-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 live birth 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 certificate of live birth - 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: 68998-4
subject | S Σ | 1..1 | Reference(Patient - Child - Vital Records) | The subject of the composition is the newborn baby: the "US Standard Mothers Worksheet for Child’s Birth Certificate" should be the source of truth for the baby's name.
encounter | S Σ | 0..1 | Reference(Encounter - Birth) | The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference |  | 0..1 | Reference(Encounter - Maternity) | The Encounter is the maternity encounter. 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 Live Birth Certificate. 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 Live Birth Certificate 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 Mothers Worksheet for Child’s Birth Certificate" 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:numberPrenatalCareVisits | S C | 0..1 | Reference(Observation - Number of Prenatal Visits - Vital Records) | Number of prenatal care visits
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:numberOtherOutcomes | S C | 0..1 | Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records) | Number of other pregnancy outcomes
entry:dateLastOtherOutcome | S C | 0..1 | Reference(Observation - Date of Last Other Pregnancy Outcome) | Date of last other pregnancy outcome
entry:principalSourceOfPayment | S C | 0..1 | Reference(Coverage - Principal Payer for Delivery) | Principal source of payment for this delivery
entry:mothersWeightAtDelivery | S C | 0..1 | Reference(Observation - Mother Delivery Weight - Vital Records) | Mother's weight at delivery
entry:mothersHeight | S C | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height: the "US Standard Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mothers Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
section:medicalHealthInformation | S C | 0..1 | BackboneElement | Medical and Health Information section on the Live Birth Certificate 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: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the infertility treatment, artificial insemination, and assisted fertilization data elements.
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:infectionsDuringPregnancy | S C | 0..* | Reference(Condition - Infection Present During Pregnancy) | Infections present and/or treated during this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:obstetricProcedures | S C | 1..1 | Reference(Procedure - Obstetric) | Obstetric procedures
Slices for entry |  |  |  | Content/Rules for all slices
entry:characteristicsLaborDelivery | S C | 0..* | Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery) | Characteristics of labor and delivery
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:newbornInformation | S C | 0..1 | BackboneElement | Newborn section on the Live Birth Certificate 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 | Newborn delivery 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: 57075-4
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:birthWeight | S C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Birthweight
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:ApgarScore | S C | 0..2 | Reference(Observation - Apgar Score - Vital Records) | Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
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:abnormalConditionsNewborn | S C | 0..* | Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn) | Abnormal conditions of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:congenitalAnomaliesNewborn | S C | 0..* | Reference(Condition - Congenital Anomaly of Newborn) | Congenital anomolies of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantLiving | S C | 0..1 | Reference(Observation - Infant Living - Vital Records) | Is infant living at time of report?
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantBreastfedAtDischarge | S C | 0..1 | Reference(Observation - Infant Breastfed at Discharge) | Is infant being breastfed at discharge?
section:motherInformation | S C | 0..1 | BackboneElement | Composition is broken into sections 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) | Who/what the section is about, when it is not about the subject of composition
Slices for entry | S C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:marriedDuringPregnancy | S C | 0..1 | Reference(Observation - Mother Married During Pregnancy) | Mother married during pregnancy: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:ssnRequestedForChild | S C | 0..1 | Reference(Observation - Social Security Number Requested For Child) | Was social security number requested for the child: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
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 Mother's Worksheet for Child’s Birth Certificate should be the source of truth for this data element.
section:fatherInformation | S C | 0..1 | BackboneElement | Father section on the Live Birth Certificate 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 Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the father's name, dob, birthplace, ssn, race, and ethncity.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:paternityAcknowledgementSigned | S C | 0..1 | Reference(Observation - Paternity Acknowledgement Signed) | Paternity acknowledgement signed by father: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:fathersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Father's education: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
section:patientsQuestionnaireResponse | C | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate 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 68998-4 `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:newbornInformation.code | example | Pattern: LOINC Code 57075-4 `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:newbornInformation, 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:newbornInformation, 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 | Provider Live Birth Report
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
liveBirthCertificateNumber | S | 0..1 | Identifier | Birth Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar | S | 1..1 | dateTime | Date filed by registrar URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-filed-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 live birth 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 certificate of live birth - 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: 68998-4
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 - Child - Vital Records) | The subject of the composition is the newborn baby: the "US Standard Mothers Worksheet for Child’s Birth Certificate" should be the source of truth for the baby's name.
encounter | S Σ | 0..1 | Reference(Encounter - Birth) | The Encounter for the Composition is the newborn's birth encounter.
id |  | 0..1 | string | Unique id for inter-element referencing
Extension-encounter-maternity-reference |  | 0..1 | Reference(Encounter - Maternity) | The Encounter is the maternity encounter. 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 Live Birth Certificate. 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 Live Birth Certificate 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 Mothers Worksheet for Child’s Birth Certificate" 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:numberPrenatalCareVisits | S C | 0..1 | Reference(Observation - Number of Prenatal Visits - Vital Records) | Number of prenatal care visits
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:numberOtherOutcomes | S C | 0..1 | Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records) | Number of other pregnancy outcomes
Slices for entry |  |  |  | Content/Rules for all slices
entry:dateLastOtherOutcome | S C | 0..1 | Reference(Observation - Date of Last Other Pregnancy Outcome) | Date of last other pregnancy outcome
Slices for entry |  |  |  | Content/Rules for all slices
entry:principalSourceOfPayment | S C | 0..1 | Reference(Coverage - Principal Payer for Delivery) | Principal source of payment for this delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersWeightAtDelivery | S C | 0..1 | Reference(Observation - Mother Delivery Weight - Vital Records) | Mother's weight at delivery
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 Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mothers Worksheet for Child’s Birth Certificate" 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 Live Birth Certificate 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: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the infertility treatment, artificial insemination, and assisted fertilization data elements.
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:infectionsDuringPregnancy | S C | 0..* | Reference(Condition - Infection Present During Pregnancy) | Infections present and/or treated during this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:obstetricProcedures | S C | 1..1 | Reference(Procedure - Obstetric) | Obstetric procedures
Slices for entry |  |  |  | Content/Rules for all slices
entry:characteristicsLaborDelivery | S C | 0..* | Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery) | Characteristics of labor and delivery
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:newbornInformation | S C | 0..1 | BackboneElement | Newborn section on the Live Birth Certificate 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 | Newborn delivery 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: 57075-4
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 newborn section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:birthWeight | S C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Birthweight
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:ApgarScore | S C | 0..2 | Reference(Observation - Apgar Score - Vital Records) | Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
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:abnormalConditionsNewborn | S C | 0..* | Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn) | Abnormal conditions of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:congenitalAnomaliesNewborn | S C | 0..* | Reference(Condition - Congenital Anomaly of Newborn) | Congenital anomolies of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantLiving | S C | 0..1 | Reference(Observation - Infant Living - Vital Records) | Is infant living at time of report?
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantBreastfedAtDischarge | S C | 0..1 | Reference(Observation - Infant Breastfed at Discharge) | Is infant being breastfed at discharge?
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 | Composition is broken into sections 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) | 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) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:marriedDuringPregnancy | S C | 0..1 | Reference(Observation - Mother Married During Pregnancy) | Mother married during pregnancy: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:ssnRequestedForChild | S C | 0..1 | Reference(Observation - Social Security Number Requested For Child) | Was social security number requested for the child: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
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 Mother's Worksheet for Child’s Birth Certificate 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 Live Birth Certificate 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 Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the father's name, dob, birthplace, ssn, race, and ethncity.
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 fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:paternityAcknowledgementSigned | S C | 0..1 | Reference(Observation - Paternity Acknowledgement Signed) | Paternity acknowledgement signed by father: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:fathersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Father's education: the "US Standard Mother's Worksheet for Child’s Birth Certificate" 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:patientsQuestionnaireResponse | C | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate 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 68998-4 `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:newbornInformation.code | example | Pattern: LOINC Code 57075-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:newbornInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:newbornInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:newbornInformation.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:newbornInformation, 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:newbornInformation, 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(17 nested mandatory elements)
Must-Support: 67 elements

Structures

This structure refers to these other structures:

- Patient - Child - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr)
- Encounter - Birth (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Encounter-birth)
- 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 - Number of Prenatal Visits - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-prenatal-visits-vr)
- 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 - Number of Other Pregnancy Outcomes - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-other-pregnancy-outcomes-vr)
- Observation - Date of Last Other Pregnancy Outcome (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-date-of-last-other-pregnancy-outcome)
- Coverage - Principal Payer for Delivery (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Coverage-principal-payer-for-delivery)
- Observation - Mother Delivery Weight - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-delivery-weight-vr)
- 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)
- Condition - Infection Present During Pregnancy (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy)
- Procedure - Obstetric (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-obstetric)
- Procedure - Induction of Labor (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-induction-of-labor)
- Procedure - Augmentation of Labor (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-augmentation-of-labor)
- Observation - Administration of Steroids for Fetal Lung Maturation (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-steroids-fetal-lung-maturation)
- Observation - Antibiotics Administered During Labor (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-antibiotics-during-labor)
- Condition - Chorioamnionitis (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-chorioamnionitis)
- Procedure - Epidural or Spinal Anesthesia (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-epidural-or-spinal-anesthesia)
- Observation - None Of Specified Characteristics of Labor and Delivery (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-none-of-specified-characteristics-labor-delivery)
- 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)
- Observation - Apgar Score - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-apgar-score-vr)
- 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)
- Procedure - Assisted Ventilation Following Delivery (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-assisted-ventilation-following-delivery)
- Procedure - Assisted Ventilation More Than Six Hours (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-assisted-ventilation-more-than-six-hours)
- Observation - NICU Admission (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-nicu-admission)
- Procedure - Surfactant Replacement Therapy (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-surfactant-replacement-therapy)
- Procedure - Antibiotic for Suspected Neonatal Sepsis (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-antibiotic-suspected-neonatal-sepsis)
- Condition - Seizure (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-seizure)
- Observation - None Of Specified Abnormal Conditions of Newborn (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-none-of-specified-abnormal-conditions-of-newborn)
- Condition - Congenital Anomaly of Newborn (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn)
- Observation - Infant Living - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-infant-living-vr)
- Observation - Infant Breastfed at Discharge (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-infant-breastfed-at-discharge)
- Observation - Mother Married During Pregnancy (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy)
- Observation - Social Security Number Requested For Child (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-ssn-requested-for-child)
- 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)
- Observation - Paternity Acknowledgement Signed (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed)

Extensions

This structure refers to these extensions:

- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-certificate-number
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-local-file-number
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-filed-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 | Provider Live Birth Report
Slices for extension | S | 1..* | Extension | Extension Slice: Unordered, Open by value:url
liveBirthCertificateNumber | S | 0..1 | Identifier | Birth Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar | S | 1..1 | dateTime | Date filed by registrar URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-filed-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 live birth sent in error, a status of 'entered-in-error' must be set.
type | S | 1..1 | CodeableConcept | U.S. standard certificate of live birth - 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: 68998-4
subject | S | 1..1 | Reference(Patient - Child - Vital Records) | The subject of the composition is the newborn baby: the "US Standard Mothers Worksheet for Child’s Birth Certificate" should be the source of truth for the baby's name.
encounter | S | 0..1 | Reference(Encounter - Birth) | The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference |  | 0..1 | Reference(Encounter - Maternity) | The Encounter is the maternity encounter. 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 Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:motherPrenatal | S | 0..1 | BackboneElement | Mother (prenatal) section on the Live Birth Certificate
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 Mothers Worksheet for Child’s Birth Certificate" 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:numberPrenatalCareVisits | S | 0..1 | Reference(Observation - Number of Prenatal Visits - Vital Records) | Number of prenatal care visits
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:numberOtherOutcomes | S | 0..1 | Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records) | Number of other pregnancy outcomes
entry:dateLastOtherOutcome | S | 0..1 | Reference(Observation - Date of Last Other Pregnancy Outcome) | Date of last other pregnancy outcome
entry:principalSourceOfPayment | S | 0..1 | Reference(Coverage - Principal Payer for Delivery) | Principal source of payment for this delivery
entry:mothersWeightAtDelivery | S | 0..1 | Reference(Observation - Mother Delivery Weight - Vital Records) | Mother's weight at delivery
entry:mothersHeight | S | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height: the "US Standard Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mothers Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
section:medicalHealthInformation | S | 0..1 | BackboneElement | Medical and Health Information section on the Live Birth Certificate
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: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the infertility treatment, artificial insemination, and assisted fertilization data elements.
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:infectionsDuringPregnancy | S | 0..* | Reference(Condition - Infection Present During Pregnancy) | Infections present and/or treated during this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:obstetricProcedures | S | 1..1 | Reference(Procedure - Obstetric) | Obstetric procedures
Slices for entry |  |  |  | Content/Rules for all slices
entry:characteristicsLaborDelivery | S | 0..* | Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery) | Characteristics of labor and delivery
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:newbornInformation | S | 0..1 | BackboneElement | Newborn section on the Live Birth Certificate
code | S | 1..1 | CodeableConcept | Newborn delivery 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: 57075-4
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:birthWeight | S | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Birthweight
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:ApgarScore | S | 0..2 | Reference(Observation - Apgar Score - Vital Records) | Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
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:abnormalConditionsNewborn | S | 0..* | Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn) | Abnormal conditions of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:congenitalAnomaliesNewborn | S | 0..* | Reference(Condition - Congenital Anomaly of Newborn) | Congenital anomolies of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantLiving | S | 0..1 | Reference(Observation - Infant Living - Vital Records) | Is infant living at time of report?
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantBreastfedAtDischarge | S | 0..1 | Reference(Observation - Infant Breastfed at Discharge) | Is infant being breastfed at discharge?
section:motherInformation | S | 0..1 | BackboneElement | Composition is broken into sections
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) | Who/what the section is about, when it is not about the subject of composition
Slices for entry | S | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:marriedDuringPregnancy | S | 0..1 | Reference(Observation - Mother Married During Pregnancy) | Mother married during pregnancy: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:ssnRequestedForChild | S | 0..1 | Reference(Observation - Social Security Number Requested For Child) | Was social security number requested for the child: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
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 Mother's Worksheet for Child’s Birth Certificate should be the source of truth for this data element.
section:fatherInformation | S | 0..1 | BackboneElement | Father section on the Live Birth Certificate
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 Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the father's name, dob, birthplace, ssn, race, and ethncity.
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:paternityAcknowledgementSigned | S | 0..1 | Reference(Observation - Paternity Acknowledgement Signed) | Paternity acknowledgement signed by father: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:fathersEducation | S | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Father's education: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
section:patientsQuestionnaireResponse |  | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
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 | Provider Live Birth Report
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
liveBirthCertificateNumber | S | 0..1 | Identifier | Birth Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar | S | 1..1 | dateTime | Date filed by registrar URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-filed-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 live birth 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 certificate of live birth - 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: 68998-4
subject | S Σ | 1..1 | Reference(Patient - Child - Vital Records) | The subject of the composition is the newborn baby: the "US Standard Mothers Worksheet for Child’s Birth Certificate" should be the source of truth for the baby's name.
encounter | S Σ | 0..1 | Reference(Encounter - Birth) | The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference |  | 0..1 | Reference(Encounter - Maternity) | The Encounter is the maternity encounter. 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 Live Birth Certificate. 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 Live Birth Certificate 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 Mothers Worksheet for Child’s Birth Certificate" 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:numberPrenatalCareVisits | S C | 0..1 | Reference(Observation - Number of Prenatal Visits - Vital Records) | Number of prenatal care visits
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:numberOtherOutcomes | S C | 0..1 | Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records) | Number of other pregnancy outcomes
entry:dateLastOtherOutcome | S C | 0..1 | Reference(Observation - Date of Last Other Pregnancy Outcome) | Date of last other pregnancy outcome
entry:principalSourceOfPayment | S C | 0..1 | Reference(Coverage - Principal Payer for Delivery) | Principal source of payment for this delivery
entry:mothersWeightAtDelivery | S C | 0..1 | Reference(Observation - Mother Delivery Weight - Vital Records) | Mother's weight at delivery
entry:mothersHeight | S C | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height: the "US Standard Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mothers Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
section:medicalHealthInformation | S C | 0..1 | BackboneElement | Medical and Health Information section on the Live Birth Certificate 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: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the infertility treatment, artificial insemination, and assisted fertilization data elements.
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:infectionsDuringPregnancy | S C | 0..* | Reference(Condition - Infection Present During Pregnancy) | Infections present and/or treated during this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:obstetricProcedures | S C | 1..1 | Reference(Procedure - Obstetric) | Obstetric procedures
Slices for entry |  |  |  | Content/Rules for all slices
entry:characteristicsLaborDelivery | S C | 0..* | Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery) | Characteristics of labor and delivery
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:newbornInformation | S C | 0..1 | BackboneElement | Newborn section on the Live Birth Certificate 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 | Newborn delivery 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: 57075-4
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:birthWeight | S C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Birthweight
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:ApgarScore | S C | 0..2 | Reference(Observation - Apgar Score - Vital Records) | Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
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:abnormalConditionsNewborn | S C | 0..* | Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn) | Abnormal conditions of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:congenitalAnomaliesNewborn | S C | 0..* | Reference(Condition - Congenital Anomaly of Newborn) | Congenital anomolies of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantLiving | S C | 0..1 | Reference(Observation - Infant Living - Vital Records) | Is infant living at time of report?
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantBreastfedAtDischarge | S C | 0..1 | Reference(Observation - Infant Breastfed at Discharge) | Is infant being breastfed at discharge?
section:motherInformation | S C | 0..1 | BackboneElement | Composition is broken into sections 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) | Who/what the section is about, when it is not about the subject of composition
Slices for entry | S C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:marriedDuringPregnancy | S C | 0..1 | Reference(Observation - Mother Married During Pregnancy) | Mother married during pregnancy: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:ssnRequestedForChild | S C | 0..1 | Reference(Observation - Social Security Number Requested For Child) | Was social security number requested for the child: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
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 Mother's Worksheet for Child’s Birth Certificate should be the source of truth for this data element.
section:fatherInformation | S C | 0..1 | BackboneElement | Father section on the Live Birth Certificate 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 Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the father's name, dob, birthplace, ssn, race, and ethncity.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:paternityAcknowledgementSigned | S C | 0..1 | Reference(Observation - Paternity Acknowledgement Signed) | Paternity acknowledgement signed by father: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:fathersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Father's education: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
section:patientsQuestionnaireResponse | C | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate 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 68998-4 `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:newbornInformation.code | example | Pattern: LOINC Code 57075-4 `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:newbornInformation, 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:newbornInformation, 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 | Provider Live Birth Report
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
liveBirthCertificateNumber | S | 0..1 | Identifier | Birth Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar | S | 1..1 | dateTime | Date filed by registrar URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-filed-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 live birth 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 certificate of live birth - 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: 68998-4
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 - Child - Vital Records) | The subject of the composition is the newborn baby: the "US Standard Mothers Worksheet for Child’s Birth Certificate" should be the source of truth for the baby's name.
encounter | S Σ | 0..1 | Reference(Encounter - Birth) | The Encounter for the Composition is the newborn's birth encounter.
id |  | 0..1 | string | Unique id for inter-element referencing
Extension-encounter-maternity-reference |  | 0..1 | Reference(Encounter - Maternity) | The Encounter is the maternity encounter. 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 Live Birth Certificate. 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 Live Birth Certificate 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 Mothers Worksheet for Child’s Birth Certificate" 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:numberPrenatalCareVisits | S C | 0..1 | Reference(Observation - Number of Prenatal Visits - Vital Records) | Number of prenatal care visits
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:numberOtherOutcomes | S C | 0..1 | Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records) | Number of other pregnancy outcomes
Slices for entry |  |  |  | Content/Rules for all slices
entry:dateLastOtherOutcome | S C | 0..1 | Reference(Observation - Date of Last Other Pregnancy Outcome) | Date of last other pregnancy outcome
Slices for entry |  |  |  | Content/Rules for all slices
entry:principalSourceOfPayment | S C | 0..1 | Reference(Coverage - Principal Payer for Delivery) | Principal source of payment for this delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersWeightAtDelivery | S C | 0..1 | Reference(Observation - Mother Delivery Weight - Vital Records) | Mother's weight at delivery
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 Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mother's Worksheet for Child’s Birth Certificate" 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 Mothers Worksheet for Child’s Birth Certificate" 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 Live Birth Certificate 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: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the infertility treatment, artificial insemination, and assisted fertilization data elements.
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:infectionsDuringPregnancy | S C | 0..* | Reference(Condition - Infection Present During Pregnancy) | Infections present and/or treated during this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:obstetricProcedures | S C | 1..1 | Reference(Procedure - Obstetric) | Obstetric procedures
Slices for entry |  |  |  | Content/Rules for all slices
entry:characteristicsLaborDelivery | S C | 0..* | Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery) | Characteristics of labor and delivery
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:newbornInformation | S C | 0..1 | BackboneElement | Newborn section on the Live Birth Certificate 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 | Newborn delivery 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: 57075-4
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 newborn section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:birthWeight | S C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Birthweight
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:ApgarScore | S C | 0..2 | Reference(Observation - Apgar Score - Vital Records) | Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
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:abnormalConditionsNewborn | S C | 0..* | Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn) | Abnormal conditions of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:congenitalAnomaliesNewborn | S C | 0..* | Reference(Condition - Congenital Anomaly of Newborn) | Congenital anomolies of the newborn
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantLiving | S C | 0..1 | Reference(Observation - Infant Living - Vital Records) | Is infant living at time of report?
Slices for entry |  |  |  | Content/Rules for all slices
entry:infantBreastfedAtDischarge | S C | 0..1 | Reference(Observation - Infant Breastfed at Discharge) | Is infant being breastfed at discharge?
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 | Composition is broken into sections 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) | 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) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:marriedDuringPregnancy | S C | 0..1 | Reference(Observation - Mother Married During Pregnancy) | Mother married during pregnancy: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:ssnRequestedForChild | S C | 0..1 | Reference(Observation - Social Security Number Requested For Child) | Was social security number requested for the child: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
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 Mother's Worksheet for Child’s Birth Certificate 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 Live Birth Certificate 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 Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for the father's name, dob, birthplace, ssn, race, and ethncity.
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 fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:paternityAcknowledgementSigned | S C | 0..1 | Reference(Observation - Paternity Acknowledgement Signed) | Paternity acknowledgement signed by father: the "US Standard Mother's Worksheet for Child’s Birth Certificate" should be the source of truth for this data element.
Slices for entry |  |  |  | Content/Rules for all slices
entry:fathersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Father's education: the "US Standard Mother's Worksheet for Child’s Birth Certificate" 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:patientsQuestionnaireResponse | C | 0..1 | BackboneElement | Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate 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 68998-4 `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:newbornInformation.code | example | Pattern: LOINC Code 57075-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:newbornInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:newbornInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:newbornInformation.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:newbornInformation, 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:newbornInformation, 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(17 nested mandatory elements)
Must-Support: 67 elements

Structures

This structure refers to these other structures:

- Patient - Child - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr)
- Encounter - Birth (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Encounter-birth)
- 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 - Number of Prenatal Visits - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-prenatal-visits-vr)
- 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 - Number of Other Pregnancy Outcomes - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-other-pregnancy-outcomes-vr)
- Observation - Date of Last Other Pregnancy Outcome (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-date-of-last-other-pregnancy-outcome)
- Coverage - Principal Payer for Delivery (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Coverage-principal-payer-for-delivery)
- Observation - Mother Delivery Weight - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-delivery-weight-vr)
- 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)
- Condition - Infection Present During Pregnancy (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy)
- Procedure - Obstetric (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-obstetric)
- Procedure - Induction of Labor (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-induction-of-labor)
- Procedure - Augmentation of Labor (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-augmentation-of-labor)
- Observation - Administration of Steroids for Fetal Lung Maturation (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-steroids-fetal-lung-maturation)
- Observation - Antibiotics Administered During Labor (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-antibiotics-during-labor)
- Condition - Chorioamnionitis (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-chorioamnionitis)
- Procedure - Epidural or Spinal Anesthesia (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-epidural-or-spinal-anesthesia)
- Observation - None Of Specified Characteristics of Labor and Delivery (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-none-of-specified-characteristics-labor-delivery)
- 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)
- Observation - Apgar Score - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-apgar-score-vr)
- 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)
- Procedure - Assisted Ventilation Following Delivery (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-assisted-ventilation-following-delivery)
- Procedure - Assisted Ventilation More Than Six Hours (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-assisted-ventilation-more-than-six-hours)
- Observation - NICU Admission (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-nicu-admission)
- Procedure - Surfactant Replacement Therapy (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-surfactant-replacement-therapy)
- Procedure - Antibiotic for Suspected Neonatal Sepsis (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-antibiotic-suspected-neonatal-sepsis)
- Condition - Seizure (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-seizure)
- Observation - None Of Specified Abnormal Conditions of Newborn (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-none-of-specified-abnormal-conditions-of-newborn)
- Condition - Congenital Anomaly of Newborn (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn)
- Observation - Infant Living - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-infant-living-vr)
- Observation - Infant Breastfed at Discharge (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-infant-breastfed-at-discharge)
- Observation - Mother Married During Pregnancy (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy)
- Observation - Social Security Number Requested For Child (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-ssn-requested-for-child)
- 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)
- Observation - Paternity Acknowledgement Signed (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed)

Extensions

This structure refers to these extensions:

- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-certificate-number
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-live-birth-local-file-number
- https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-filed-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