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

## Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### Profiles: Live Birth - EHR to Jurisdictional Vital Records Office

Resources that define the information needed for the data flow from the EHR (provider) to the Jurisdictional Vital Records Office for live birth.

Composition - Provider Live Birth Report | 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.
Questionnaire - Mother's Worksheet for Child's Birth Certificate | This Questionnaire represents the Mother’s Worksheet for Child’s Birth Certificate.

### Profiles: Fetal Death - EHR to Jurisdictional Vital Records Office

Resources that define the information needed for the data flow from the EHR (provider) to the Jurisdictional Vital Records Office for fetal death.

Composition - Provider Fetal Death Report | This Composition profile contains constraints to address the use case describing the need for fetal death information to be recorded and communicated to the jurisdictional Vital Records Office.
Questionnaire - Patient's Fetal Death Worksheet | This Questionnaire represents the Patient’s Worksheet for the Report of Fetal Death.

### Profiles: Live Birth - Jurisdictional Vital Records Office to National Statistical Agency

Compositions that define the information needed for the data flow from the Jurisdictional Vital Records Office to the National Statistic Agency for live birth.

Composition - Jurisdiction Live Birth Report | This Composition profile contains information of a live birth and the issuance of a Birth Certificate to be recorded and communicated to the national statistics agency.

### Profiles: Fetal Death - Jurisdictional Vital Records Office to National Statistical Agency

Compositions that define the information needed for the data flow from the Jurisdictional Vital Records Office to the National Statistic Agency for fetal death.

Composition - Jurisdiction Fetal Death Report | This Composition profile contains information of a fetal death and the creation of a jurisdictional file to be recorded and communicated to the national statistics agency.

### Profiles: National Statistical Agency to Jurisdictional Vital Records Office

Composition - Coded Cause of Fetal Death | This Composition profile communicates coded cause of fetal death information to appropriate jurisdictional Vital Records Offices.
Composition - Coded Race and Ethnicity | This Composition profile communicates coded race and ethnicity information to the appropriate jurisdictional Vital Records Office.

### Profiles: Encounter

Encounter - Birth | This Encounter profile represents the child’s birth encounter.
Encounter - Maternity | This Encounter profile represents the mother’s maternity encounter.
Extension - Encounter Maternity Reference | This Extension profile is a reference to the maternity encounter.

### Profiles: Newborn/Fetus

Condition - Congenital Anomaly of Newborn | This Condition profile represents information on whether the infant suffered from one or more of a list of known malformations diagnosed prenatally or after delivery.
Observation - Fetal Presentation at Birth/Delivery | This Observation profile represents the fetal presentation (orientation within the mother’s womb) of a fetus prior to delivery/birth.
Observation - Infant Breastfed at Discharge | This Observation profile represents whether or not the infant was being breastfed at discharge.

### Profiles: Abnormal Condition of the Newborn

Condition - Seizure | This Condition profile indicates the newborn had an abnormal condition of seizure.
Observation - NICU Admission | This Observation profile indicates that the abnormal condition of an admission to the NICU was present.
Observation - None Of Specified Abnormal Conditions of Newborn | This Observation profile indicates that none of the specified abnormal conditions of the newborn were present.
Procedure - Antibiotic for Suspected Neonatal Sepsis | This Procedure profile represents an abnormal condition of antibiotic given for suspected neonatal sepsis.
Procedure - Assisted Ventilation Following Delivery | This Procedure profile represents an abnormal condition of the newborn of assisted ventilation immediately following delivery.
Procedure - Assisted Ventilation More Than Six Hours | This Procedure profile represents an abnormal condition of the newborn of assisted ventilation for more than six hours.
Procedure - Surfactant Replacement Therapy | This Procedure profile represents an abnormal condition of the newborn of surfactant replacement therapy.

### Profiles: Characteristics of Labor and Delivery

Condition - Chorioamnionitis | This Condition profile indicates a labor and delivery characteristic of chorioamnionitis.
Observation - Administration of Steroids for Fetal Lung Maturation | This Observation profile indicates a characteristic of labor of administration of steroids for fetal lung maturation.
Observation - Antibiotics Administered During Labor | This Observation profile indicates a characteristic of labor of antibiotics administered during labor.
Observation - None Of Specified Characteristics of Labor and Delivery | This Observation profile indicates that none of the specified characteristics of labor and delivery were present.
Procedure - Augmentation of Labor | This Procedure profile indicates a characteristic of labor of augmentation of labor.
Procedure - Epidural or Spinal Anesthesia | This Procedure profile indicates a characteristic of labor of epidural or spinal anesthesia.
Procedure - Induction of Labor | This Procedure profile indicates a characteristic of labor of induction of labor.

### Profiles: Mother Prenatal

Coverage - Principal Payer for Delivery | This Coverage profile represents the principal payer for this delivery.
Observation - Cigarette Smoking Before and During Pregnancy | This Observation profile represents the average number of cigarettes smoked per day for each time period indicated by the value selected for code: Number of Cigarettes Smoked in 3 months prior to Pregnancy Number of Cigarettes Smoked in 1st 3 months Number of Cigarettes Smoked in 2nd 3 months Number of Cigarettes Smoked in third or last trimester Where number of packs per day are provided, calculate number of cigarettes per day (a pack has 20 cigarettes) and record that number.
Observation - Date of First Prenatal Care Visit | This Observation profile represents the date of the first prenatal care visit for this pregnancy. A prenatal visit is where a physician or other health care professional examined and/or counseled the pregnant woman for the pregnancy. If this profile is not present it indicates that the mother did not receive prenatal care at any time during the pregnancy.
Observation - Date of Last Live Birth | This Observation profile represents the date of the mother’s last live born infant (do not include this birth).
Observation - Date of Last Other Pregnancy Outcome | This Observation profile represents the date of the mother’s last other pregnancy outcome (includes pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies) (do not include this birth).
Observation - Mother Recieved WIC Food | This Observation profile represents whether or not the mother made use of the Women, Infants and Children (WIC) nutritional program during the pregnancy.
Observation - Planned to Deliver at Home | This Observation profile represents whether or not a home birth was planned for the infant.

### Profiles: Medical and Health Information

Condition - Infection Present During Pregnancy | This Condition profile represents infections present and/or treated during the pregnancy.
Observation - Labor Trial Attempted | This Observation profile represents whether, in the case of a cesarean delivery, a trial of labor was attempted.
Procedure - Final Route and Method of Delivery | This Procedure profile represents the final route and method of delivery.
Procedure - Obstetric | This Procedure profile represents information about a particular medical treatment or invasive/manipulative procedure that was performed during this pregnancy specifically in the treatment of the pregnancy, management of labor and/or delivery.

### Profiles: Maternal Morbidity

Condition - Perineal Laceration | This Condition profile indicates a maternal morbidity of perineal laceration.
Condition - Ruptured Uterus | This Condition profile indicates a maternal morbidity of ruptured uterus.
Observation - ICU Admission | This Observation profile indicates that the maternal morbidity of an admission to the ICU was present.
Observation - None Of Specified Maternal Morbidities | This Observation profile indicates that none of the specified maternal morbidities were present.
Procedure - Blood Transfusion | This Procedure profile indicates a maternal morbidity of a blood transfusion.
Procedure - Unplanned Hysterectomy | This Procedure profile indicates a maternal morbidity of unplanned hysterectomy.

### Profiles: Fetal Death Information

Condition - Coded Initiating Fetal Death Cause or Condition | This Condition profile represents the coded initiating cause/condition of fetal death.
Condition - Coded Other Fetal Death Cause or Condition | This Condition profile represents a coded other significant cause/condition of fetal death.
Condition - Fetal Death Cause or Condition | This Condition profile represents information provided by the clinician to indicate the cause or causes of the fetal death.
Condition - Fetal Death Other Cause or Condition | This Condition profile represents another significant cause or condition for the death of the fetus.
Observation - Autopsy/Histological Exam Results Used | This Observation profile represents whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
Observation - Fetal Death Time Point | This Observation profile represents the estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
Observation - Histological Placental Exam Performed | This Observation profile represents whether or not a histological placental examination was performed.
Observation - Method of Disposition | This Observation profile represents the method of disposition of the deceased fetus.

### Profiles: Parent Information

Observation - Mother Married During Pregnancy | This Observation profile represents whether or not the mother was married at conception, at the time of birth, or at any time between conception and giving birth.
Observation - Paternity Acknowledgement Signed | This Observation profile represents whether or not a paternity acknowledgement was signed by the father if the mother was not married at conception, at the time of birth, or at any time between conception and giving birth.
Observation - Social Security Number Requested For Child | This Observation profile represents whether or not a social security number has been requested for the child. If a social security number was requested, set valueBoolean=true and enter the time requested in the effectiveDateTime data element.

### Profiles: Edit Flag

Observation - Edit Flag Birthweight | This Observation profile indicates whether the original birthweight data provided passed validation checks.
Observation - Edit Flag Estimate of Gestation | This Observation profile indicates whether the original estimate of gestation data provided passed validation checks.
Observation - Edit Flag Father's Date of Birth | This Observation profile indicates whether the original father’s date of birth data provided passed validation checks.
Observation - Edit Flag Father's Education | This Observation profile indicates whether the original father’s education data provided passed validation checks.
Observation - Edit Flag Mother's Date of Birth | This Observation profile indicates whether the original mother’s date of birth data provided passed validation checks.
Observation - Edit Flag Mother's Delivery Weight | This Observation profile indicates whether the original mother’s delivery weight data provided passed validation checks.
Observation - Edit Flag Mother's Education | This Observation profile indicates whether the original mother’s education data provided passed validation checks.
Observation - Edit Flag Mother's Height | This Observation profile indicates whether the original mother’s height data provided passed validation checks.
Observation - Edit Flag Mother's Prepregnancy Weight | This Observation profile indicates whether the original mother’s prepregnancy weight data provided passed validation checks.
Observation - Edit Flag Number of Previous Cesareans | This Observation profile indicates whether the original number of previous cesareans data provided passed validation checks.
Observation - Edit Flag Number Prenatal Care Visits | This Observation profile indicates whether the original number of prenatal care visits data provided passed validation checks.
Observation - Edit Flag Plurality | This Observation profile indicates whether the original plurality data provided passed validation checks.

### Profiles: Administrative

Extension - Date Filed by Registrar | This Extension profile represents the date filed by registrar.
Extension - Date Received by Registrar | This Extension profile represents the date received by registrar.
Extension - Fetal Death Local File Number [FDRFN] | This Extension profile represents the fetal death local file number - this is the “Local File No.” on the US Standard Report of Fetal Death.
Extension - Fetal Death Report Number | This Extension profile represents the fetal death report number - this is “State File Number” on the US Standard Report of Fetal Death.
Extension - Live Birth Certificate Number | This Extension profile represents the live birth certificate number - this is the “Birth Number” on the US Standard Certificate of Live Birth.
Extension - Live Birth Local File Number | This Extension profile represents the live birth local file number - this is the “Local File No.” on the US Standard Certificate of Live Birth.
Extension - Replacement Status | This Extension profile represents the replacement status of a record.

### Profiles: Transport

Bundle - Document Birth and Fetal Death | This Bundle profile represents a Birth and Fetal Death Document Bundle. It contains any one of the Birth and Fetal Death Compositions.

### Examples: Live Birth - Bundle & Composition

The examples in this section correspond to the information in the Example Facility Worksheet for the Live Birth Certificate (see Appendix A) and the Example Live Birth Certificate (see Appendix B).

Bundle - Jurisdiction Live Birth Report - Baby G Quinn | Bundle - Jurisdiction Live Birth Report: Baby G Quinn example
Bundle - Provider Live Birth - Baby G Quinn | Bundle - Provider Live Birth: Baby G Quinn example
Composition - Jurisdiction Live Birth Report - BabyG Quinn | Composition - Jurisdiction Live Birth Report: BabyG Quinn example
Composition - Provider Live Birth Report - BabyG Quinn | Composition - Provider Live Birth Report: BabyG Quinn example
QuestionnaireResponse - Mother's Worksheet for Child's Birth Certificate: Jada Ann Quinn | Questionnaire - Mother’s Worksheet for Child’s Birth Certificate: Jada Ann Quinn

### Examples: Fetal Death - Bundle & Composition

The examples in this section correspond to the information in the Example Facility Worksheet for the Fetal Death Report (see Appendix C) and the Example Fetal Death Report (see Appendix D).

Bundle - Jurisdiction Fetal Death Report - Fetus Not Named | Bundle - Jurisdiction Fetal Death Report: Fetus Not Named example
Bundle - Provider Fetal Death Report - Fetus Not Named | Bundle - Provider Fetal Death Report: Fetus Not Named example
Composition - Jurisdiction Fetal Death Report - Fetus Not Named | Composition Jurisdiction Fetal Death Report: Fetus Not Named example
Composition - Provider Fetal Death Report - Fetus Not Named | Composition - Provider Fetal Death Report: Fetus Not Named
QuestionnaireResponse - Patient's Fetal Death Worksheet: Carmen Lee | QuestionnaireResponse - Patient’s Fetal Death Worksheet: Carmen Lee

### Examples - Participant

Patient - Child - Vital Records - Baby G Quinn | Patient - Child - Vital Records: BabyG Quinn example
Patient - Mother - Vital Records - Carmen Teresa Lee | Patient - Mother - Vital Records: Carmen Teresa Lee example
Patient - Mother - Vital Records - Jada Ann Quinn | Patient - Mother - Vital Records: Jada Ann Quinn example
US Core Location - East Hospital | US Core Location: East Hospital example
US Core Location - North Hospital | US Core Location: North Hospital example
US Core Location - South Hospital | US Core Location: South Hospital example
Patient - Decedent Fetus - Vital Records - Fetus Not Named | Patient - Decedent Fetus - Vital Records: Fetus Not Named example
Practitioner - Vital Records - Avery Jones, MD | Practitioner - Vital Records: Avery Jones, MD example
Practitioner - Vital Records - Janet Seito | Practitioner - Vital Records: Janet Seito example
Practitioner - Vital Records - Jessica Leung | Practitioner - Vital Records: Jessica Leung example
RelatedPerson - Father Natural - Vital Records - James Brandon Quinn | RelatedPerson - Father Natural - Vital Records: James Brandon Quinn example
RelatedPerson - Father Natural - Vital Records - Tom Yan Lee | RelatedPerson - Father Natural - Vital Records - Tom Yan Lee example
RelatedPerson - Mother Gestational - Vital Records - Carmen Teresa Lee | RelatedPerson - Mother Gestational - Vital Records - Carmen Teresa Lee example
RelatedPerson - Mother Gestational - Vital Records - Jada Ann Quinn | RelatedPerson - Mother Gestational - Vital Records - Jada Ann Quinn example
US Core Organization - South Hospital | US Core Organization: South Hospital example
US Core Organization - Jurisdictional Vital Records Office | US Core Organization: Jurisdictional Vital Records Office example
US Core Organization - National Center for Health Statistics [NCHS] | US Core Organization: National Center for Health Statistics [NCHS] example

### Examples - Encounter

Encounter - Birth - Baby G Quinn | Encounter - Birth: Baby G Quinn example
Encounter - Maternity - Carmen Teresa Lee | Encounter - Maternity: Carmen Teresa Lee example
Encounter - Maternity - Jada Ann Quinn | Encounter - Maternity: Jada Ann Quinn example

### Examples: Characteristics of Labor and Delivery

Condition - Chorioamnionitis - Jada Ann Quinn | Condition - Chorioamnionitis: Jada Ann Quinn example
Observation - Administration of Steroids for Fetal Lung Maturation - Jada Ann Quinn | Observation - Administration of Steroids for Fetal Lung Maturation: Jada Ann Quinn example
Observation - Antibiotics Administered During Labor - Jada Ann Quinn | Observation - Antibiotics Administered During Labor: Jada Ann Quinn example
Observation - None Of Specified Characteristics of Labor and Delivery - Jada Ann Quinn | Observation - None Of Specified Characteristics of Labor and Delivery: Jada Ann Quinn example
Procedure - Augmentation of Labor - Jada Ann Quinn | Procedure - Augmentation of Labor: Jada Ann Quinn example
Procedure - Epidural or Spinal Anesthesia - Jada Ann Quinn | Procedure - Epidural or Spinal Anesthesia: Jada Ann Quinn example
Procedure - Induction of Labor - Jada Ann Quinn | Procedure - Induction of Labor: Jada Ann Quinn example

### Examples: Abnormal Condition of the Newborn

Condition - Seizure - BabyG Quinn | Condition - Seizure: BabyG Quinn example
Observation - NICU Admission - BabyG Quinn | Observation - NICU Admission: BabyG Quinn example
Observation - None Of Specified Abnormal Conditions of Newborn - BabyG Quinn | Observation - None Of Specified Abnormal Conditions of Newborn: BabyG Quinn example
Procedure - Antibiotic for Suspected Neonatal Sepsis - BabyG Quinn | Procedure - Antibiotic for Suspected Neonatal Sepsis: BabyG Quinn example
Procedure - Assissted Ventilation Following Delivery - BabyG Quinn | Procedure - Assissted Ventilation Following Delivery: BabyG Quinn example
Procedure - Assisted Ventilation More Than Six Hours - BabyG Quinn | Procedure - Assisted Ventilation More Than Six Hours: BabyG Quinn example
Procedure - Surfactant Replacement - BabyG Quinn | Procedure - Surfactant Replacement: BabyG Quinn example

### Examples: Maternal Morbidity

Condition - Perineal Laceration - Jada Ann Quinn | Condition - Perineal Laceration: Jada Ann Quinn example
Condition - Ruptured Uterus - Jada Ann Quinn | Condition - Ruptured Uterus: Jada Ann Quinn example
Observation - ICU Admission - Jada Ann Quinn | Observation - ICU Admission: Jada Ann Quinn example
Observation - None Of Specified Maternal Morbidities - Jada Ann Quinn | Observation - None Of Specified Maternal Morbidities: Jada Ann Quinn example
Procedure - Blood Transfusion - Jada Ann Quinn | Procedure - Blood Transfusion: Jada Ann Quinn example
Procedure Unplanned Hysterectomy - Jada Ann Quinn | Procedure Unplanned Hysterectomy: Jada Ann Quinn example

### Examples: Pregnancy Risk Factors

Condition - Gestational Diabetes - Carmen Teresa Lee | Condition - Gestational Diabetes: Carmen Teresa Lee example
Condition - Gestational Diabetes - Jada Ann Quinn | Condition - Gestational Diabetes: Jada Ann Quinn example
Condition - Gestational Hypertension - Jada Ann Quinn | Condition - Gestational Hypertension: Jada Ann Quinn example
Condition - Prepregnancy Diabetes - Jada Ann Quinn | Condition - Prepregnancy Diabetes: Jada Ann Quinn example
Condition - Prepregnancy Hypertension - Carmen Teresa Lee | Condition - Prepregnancy Hypertension: Carmen Teresa Lee example
Observation - Pregnancy Risk Factor - Jada Ann Quinn: Deliveries by Cesarean | Observation - Pregnancy Risk Factor: Jada Ann Quinn: Deliveries by Cesarean example
Procedure - Assisted Fertilization - Jada Ann Quinn | Procedure - Assisted Fertilization: Jada Ann Quinn example
Procedure - Infertility Treatment - Jada Ann Quinn | Procedure - Infertility Treatment: Jada Ann Quinn example

### Examples: Live Birth - Clinical & Other

Condition - Congenital Anomaly of Newborn - Baby G Quinn | Condition - Congenital Anomaly of Newborn: Baby G Quinn example
Condition - Congenital Anomaly of Newborn - BabyG Quinn | Condition - Congenital Anomaly of Newborn: BabyG Quinn example
Condition - Infection Present During Pregnancy - Jada Ann Quinn | Condition - Infection Present During Pregnancy: Jada Ann Quinn example
Coverage - Principal Payer for Delivery - Jada Ann Quinn | Coverage - Principal Payer for Delivery: Jada Ann Quinn example
Observation - Apgar Score - BabyG Quinn: 1 min | Observation - Apgar Score: BabyG Quinn: 1 min example
Observation - Apgar Score - BabyG Quinn: 5 min | Observation - Apgar Score: BabyG Quinn: 5 min example
Observation - Birth Weight - Baby G Quinn | Observation - Birth Weight: Baby G Quinn example
Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: 3 months prior | Observation - Cigarette Smoking Before/During Pregnancy: Jada Ann Quinn: 3 months prior example
Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: first 3 months | Observation - Cigarette Smoking Before/During Pregnancy: Jada Ann Quinn: first 3 months example
Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: last 3 months | Observation - Cigarette Smoking Before/During Pregnancy: Jada Ann Quinn: last 3 months example
Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: second 3 months | Observation - Cigarette Smoking Before/During Pregnancy: Jada Ann Quinn: second 3 months example
Observation - Date of First Prenatal Care Visit - Jada Ann Quinn | Observation - Date of First Prenatal Care Visit: Jada Ann Quinn example
Observation - Date of Last Live Birth - Jada Ann Quinn | Observation - Date of Last Live Birth: Jada Ann Quinn example
Observation - Date of Last Other Pregnancy Outcome - Jada Ann Quinn | Observation - Date of Last Other Pregnancy Outcome: Jada Ann Quinn example
Observation - Fetal Presentation - Baby G Quinn | Observation - Fetal Presentation: Jada Ann Quinn example
Observation - Gestational Age at Delivery - Baby G Quinn | Observation - Gestational Age at Delivery: Baby G Quinn example
Observation - Infant Breastfed at Discharge - Baby G Quinn | Observation - Infant Breastfed at Discharge: BabyG Quinn
Observation - Infant Living - Baby G Quinn | Observation - Infant Living: BabyG Quinn example
Observation - Labor Trial Attempted - Baby G Quinn | Observation - Labor Trial Attempted: Baby G Quinn example
Observation - Last Menstrual Period - Jada Ann Quinn | Observation - Last Menstrual Period: Jada Ann Quinn example
Observation - Mother Delivery Weight - Jada Ann Quinn | Observation - Mother Delivery Weight: Jada Ann Quinn example
Observation - Mother Height - Jada Ann Quinn | Observation - Mother Height: Jada Ann Quinn example
Observation - Mother Married During Pregnancy - Jada Ann Quinn | Observation - Mother Married During Pregnancy: Jada Ann Quinn example
Observation - Mother Prepregnancy Weight - Jada Ann Quinn | Observation - Mother Prepregnancy Weight: Jada Ann Quinn example
Observation - Mother Received WIC Food - Jada Ann Quinn | Observation - Mother Received WIC Food: Jada Ann Quinn example
Observation - Number Births Now Dead - Jada Ann Quinn | Observation - Number Births Now Dead: Jada Ann Quinn example
Observation - Number Births Now Living - Jada Ann Quinn | Observation - Number Births Now Living: Jada Ann Quinn example
Observation - Number Live Births This Delivery - Jada Ann Quinn | Observation - Number Live Births This Delivery: Jada Ann Quinn example
Observation - Number Other Pregnancy Outcomes - Jada Ann Quinn | Observation - Number Other Pregnancy Outcomes: Jada Ann Quinn example
Observation - Number Prenatal Visits - Jada Ann Quinn | Observation - Number Prenatal Visits: Jada Ann Quinn example
Observation - Number Previous Cesareans - Jada Ann Quinn | Observation - Number Previous Cesareans: Jada Ann Quinn example
Observation - Parent Education Level - Jada Ann Quinn | Observation - Parent Education Level: Jada Ann Quinn example
Observation - Parent Education Level - James Quinn | Observation - Parent Education Level: James Quinn example
Observation - Paternity Acknowledgement Signed - James Quinn | Observation - Paternity Acknowledgement Signed: James Quinn example
Observation - Planned to Deliver at Home - Baby G Quinn | Observation - Planned to Deliver at Home: Baby G Quinn example
Observation - Plurality - Jada Ann Quinn | Observation - Plurality: Jada Ann Quinn example
Observation - SSN Requested for Child - BabyG Quinn | Observation - SSN Requested for Child: BabyG Quinn example
Procedure - Final Route and Method of Delivery - Baby G Quinn | Procedure - Final Route and Method of Delivery: Baby G Quinn example
Procedure - Obstetric Procedure - Jada Ann Quinn | Procedure - Obstetric Procedure: Jada Ann Quinn example

### Examples: Fetal Death - Clinical & Other

The examples in this section correspond to the information in the Example Facility Worksheet for the Fetal Death Report (see Appendix C) and the Example Fetal Death Report (see Appendix D).

Condition - Coded Initiating Cause of Fetal Death | Condition - Coded Initiating Cause of Fetal Death example
Condition - Coded Other Cause of Fetal Death | Condition - Coded Other Cause of Fetal Death example
Condition - Fetal Death Cause or Condition - Fetus Not Named | Condition - Fetal Death Cause or Condition: Fetus Not Named example
Condition - Fetal Death Other Cause or Condition - Fetus Not Named | Condition - Fetal Death Other Cause or Condition: Fetus Not Named example
Observation - Autopsy or Histological Exam Results Used - Fetus Not Named | Observation - Autopsy or Histological Exam Results Used: Fetus Not Named example
Observation - Autopsy Performed - Fetus Not Named | Observation - Autopsy Performed: Fetus Not Named example
Observation - Birth Weight - Fetus Not Named | Observation - Birth Weight: Fetus Not Named example
Observation - Cigarette Smoking Before During Pregnancy - 3 months prior: Carmen Teresa Lee | Observation - Cigarette Smoking Before During Pregnancy - 3 months prior: Carmen Teresa Lee example
Observation - Cigarette Smoking Before During Pregnancy - first 3 months: Carmen Teresa Lee | Observation - Cigarette Smoking Before During Pregnancy - first 3 months: Carmen Teresa Lee example
Observation - Cigarette Smoking Before During Pregnancy - last 3 months: Carmen Teresa Lee | Observation - Cigarette Smoking Before During Pregnancy - last 3 months: Carmen Teresa Lee example
Observation - Cigarette Smoking Before During Pregnancy example - second 3 months: Carmen Teresa Lee | Observation - Cigarette Smoking Before During Pregnancy example - second 3 months: Carmen Teresa Lee example
Observation - Date of First Prenatal Care Visit - Carmen Teresa Lee | Observation - Date of First Prenatal Care Visit: Carmen Teresa Lee example
Observation - Date of Last Live Birth - Carmen Teresa Lee | Observation - Date of Last Live Birth: Carmen Teresa Lee example
Observation - Fetal Presentation - Fetus Not Named | Observation - Fetal Presentation: Fetus Not Named example
Observation - Gestational Age at Delivery - Fetus Not Named | Observation - Gestational Age at Delivery: Fetus Not Named example
Observation - Histological Placental Exam Performed - Fetus Not Named | Observation - Histological Placental Exam Performed: Fetus Not Named example
Observation - Last Menstrual Period - Carmen Teresa Lee | Observation - Last Menstrual Period: Carmen Teresa Lee example
Observation - Method of Disposition - Fetus Not Named | Observation - Method of Disposition: Fetus Not Named example
Observation - Mother Height - Carmen Teresa Lee | Observation - Mother Height: Carmen Teresa Lee example
Observation - Mother Prepregnancy Weight - Carmen Teresa Lee | Observation - Mother Prepregnancy Weight: Carmen Teresa Lee example
Observation - Mother Received WIC Food - Carmen Teresa Lee | Observation - Mother Received WIC Food: Carmen Teresa Lee example
Observation - Number Live Births This Delivery - Carmen Teresa Lee | Observation - Number Live Births This Delivery: Carmen Teresa Lee example
Observation - Number of Births Now Dead - Carmen Teresa Lee | Observation - Number of Births Now Dead: Carmen Teresa Lee example
Observation - Number of Births Now Living - Carmen Teresa Lee | Observation - Number of Births Now Living: Carmen Teresa Lee example
Observation - Number of Fetal Deaths This Delivery - Carmen Teresa Lee | Observation - Number of Fetal Deaths This Delivery: Carmen Teresa Lee example
Observation - Observation Estimated Fetal Death Time Point - Fetus Not Named | Observation - Observation Estimated Fetal Death Time Point: Fetus Not Named example
Observation - Parent Education Level - Carmen Teresa Lee | Observation - Parent Education Level: Carmen Teresa Lee example
Observation - Planned to Delivery at Home - Fetus Not Named | Observation - Planned to Delivery at Home: Fetus Not Named example
Observation - Plurality - Carmen Teresa Lee | Observation - Plurality: Carmen Teresa Lee example
Observations - Number Previous Cesareans - Carmen Teresa Lee | Observations - Number Previous Cesareans: Carmen Teresa Lee example
Procedure - Final Route / Method of Delivery - Fetus Not Named | Procedure - Final Route / Method of Delivery: Fetus Not Named example

### Examples: Edit Flag

Edit Flag - Birth Weight | Edit Flag - Birth Weight example
Edit Flag - Estimate of Gestation | Edit Flag - Estimate of Gestation example
Edit Flag - Father's Birthdate | Edit Flag - Father’s Birthdate example
Edit Flag - Father's Education | Edit Flag - Father’s Education example
Edit Flag - Mother's Birthdate | Edit Flag - Mother’s Birthdate example
Edit Flag - Mother's Delivery Weight | Edit Flag - Mother’s Delivery Weight example
Edit Flag - Mother's Education | Edit Flag - Mother’s Education example
Edit Flag - Mother's Height | Edit Flag - Mother’s Height example
Edit Flag - Mother's Prepregnancy Weight | Edit Flag - Mother’s Prepregnancy Weight example
Edit Flag - Number Prenatal Care Visits | Edit Flag - Number Prenatal Care Visits example
Edit Flag - Number Previous Cesarians | Edit Flag - Number Previous Cesarians example
Edit Flag - Plurality | Edit Flag - Plurality example
Observation - Edit Flag Delivery Weight - Fetus Not Named | Observation - Edit Flag Delivery Weight: Fetus Not Named example
Observation - Edit Flag Estimated Gestational Age - Decedent Not Named | Observation - Edit Flag Estimated Gestational Age: Fetus Not Named example
Observation - Edit Flag Mother's Date of Birth - Fetus Not Named | Observation - Edit Flag Mother’s Date of Birth: Fetus Not Named example
Observation - Edit Flag Mother's Education - Fetus Not Named | Observation - Edit Flag Mother’s Education: Fetus Not Named example
Observation - Edit Flag Mother's Height- Fetus Not Named | Observation - Edit Flag Mother’s Height: Fetus Not Named example
Observation - Edit Flag Mother's Prepregnancy Weight - Decedent Not Named | Observation - Edit Flag Mother’s Prepregnancy Weight: Fetus Not Named example
Observation - Edit Flag Number of Previous Cesareans - Decedent Not Named | Observation - Edit Flag Number of Previous Cesareans: Fetus Not Named example
Observation - Edit Flag Plurality - Fetus Not Named | Observation - Edit Flag Plurality: Fetus Not Named example

### Examples: National Statistical Agency to Jurisdictional Vital Records Office

Composition - Coded Cause of Fetal Death - Fetus Not Named | Composition - Coded Cause of Fetal Death: Fetus Not Named example
Composition - Coded Race and Ethnicity - Fetus Not Named | Composition - Coded Race and Ethnicity: Fetus Not Named example
Observation - Race - Vital Records - Carmen Teresa Lee | Observation - Race - Vital Records: Carmen Teresa Lee example
Observation - Race - Vital Records - James Quinn | Observation - Race - Vital Records: James Quinn example
Observation - Race - Vital Records - Tom Yan Lee | Observation - Race - Vital Records: Tom Yan Lee example
Observation - Race - Vital Records - Jada Ann Quinn | Observation - Race - Vital Records: Jada Ann Quinn example
Observation - Tabulated Ethnicity - Vital Records - Carmen Teresa Lee | Observation - Tabulated Ethnicity - Vital Records: Carmen Teresa Lee example
Observation - Tabulated Ethnicity - Vital Records - Jada Ann Quinn | Observation - Tabulated Ethnicity - Vital Records: Jada Ann Quinn example
Observation - Tabulated Ethnicity - Vital Records - James Quinn | Observation - Tabulated Ethnicity - Vital Records: James Quinn example
Observation - Tabulated Ethnicity - Vital Records - Tom Yan Lee | Observation - Tabulated Ethnicity - Vital Records: Tom Yan Lee example

### Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

CapabilityStatement - Birth and Fetal Death | This section describes the expected capabilities of a BFDR Document producer actor who is responsible for producing clinical documents and a BFDR Document consumer who receives and consumes the clinical documents.

### Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Cigarette Smoking Before and During Pregnancy | This value set contains codes to determine the number of cigarettes smoked in specific periods before and during pregnancy.
ValueSet - Replacement Status | This ValueSet contains codes that represent the replacement status of a record submission.
ValueSet - Yes No NotApplicable | Valueset with Yes, No, and Not Applicable.

### Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

CodeSystem - Replacement Status | This CodeSystem contains codes that represent the replacement status of a record submission.

### Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

USA SNOMED-CT | USA SNOMED-CT