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 - Jurisdiction Fetal Death Report

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

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.

The data requirements for jurisdictional reporting of fetal deaths are based on the Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

Usage:

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

### Formal Views of Profile Content

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

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

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension | S | 2..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 1..1 | Identifier | State File Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar | S | 1..1 | dateTime | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-received-by-registrar
replacementStatus | S | 0..1 | CodeableConcept | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
status | S | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
type | S | 1..1 | CodeableConcept | Jurisdiction fetal death report 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: 92010-8
subject | S | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus
encounter | S | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
date | S | 1..1 | dateTime | Date report completed
author | S | 1..1 | Reference(US Core Organization Profile(5.0.1)) | The author is the jurisdictional Vital Records Office.
Slices for section | S | 1..* | BackboneElement | The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. Slice: Unordered, Open by pattern:code
section:motherPrenatal | S | 0..1 | BackboneElement | Mother (prenatal) Section on the Fetal Death Report
code | S | 1..1 | CodeableConcept | Prenatal records Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57073-9
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome | S | 0..1 | Reference(Observation - Planned to Deliver at Home) | Planned to deliver at home
entry:firstPrenatalCareVisit | S | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit
entry:dateLastNormalMenses | S | 0..1 | Reference(Observation - Last Menstrual Period - Vital Records) | Date last normal menses began
entry:numberNowLiving | S | 0..1 | Reference(Observation - Number of Births Now Living - Vital Records) | Number of previous live births now living
entry:numberNowDead | S | 0..1 | Reference(Observation - Number of Births Now Dead - Vital Records) | Number of previous live births now dead
entry:dateLastLiveBirth | S | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth
entry:mothersHeight | S | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height
entry:mothersPrepregnancyWeight | S | 0..1 | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | Mother's prepregnancy weight
entry:motherReceivedWICFood | S | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy | S | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation | S | 0..1 | BackboneElement | Medical and Health Information Section on the Fetal Death Report
code | S | 1..1 | CodeableConcept | Clinical information Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55752-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:pregnancyRiskFactors | S | 0..* | Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records) | Risk factors in this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberPreviousCesareans | S | 0..1 | Reference(Observation - Number of Previous Cesareans - Vital Records) | If mother had a previous cesarean delivery, how many
Slices for entry |  |  |  | Content/Rules for all slices
entry:fetalPresentation | S | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:finalRouteMethodDelivery | S | 0..1 | Reference(Procedure - Final Route and Method of Delivery) | Final route and method of delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:maternalMorbidity | S | 0..* | Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) | Maternal morbidity (complications associated with labor and delivery)
section:fetus | S | 0..1 | BackboneElement | Fetus Section on the Fetal Death Report
code | S | 1..1 | CodeableConcept | Fetal delivery information Document [US Standard Report of Fetal Death] Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 76400-1
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the fetus section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:deliveryWeight | S | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Delivery weight
Slices for entry |  |  |  | Content/Rules for all slices
entry:gestationalAgeAtDelivery | S | 0..1 | Reference(Observation - Gestational Age at Delivery - Vital Records) | Obstetric estimate of gestation
Slices for entry |  |  |  | Content/Rules for all slices
entry:causeOfFetalDeath | S | 0..1 | Reference(Condition - Fetal Death Cause or Condition) | Initiating cause or condition of fetal death
Slices for entry |  |  |  | Content/Rules for all slices
entry:otherCauseOfDeath | S | 0..* | Reference(Condition - Fetal Death Other Cause or Condition) | Another significant cause or condition for the death of the fetus.
Slices for entry |  |  |  | Content/Rules for all slices
entry:estimatedTimeFetalDeath | S | 0..1 | Reference(Observation - Fetal Death Time Point) | The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyPerformed | S | 0..1 | Reference(Observation - Autopsy Performed Indicator - Vital Records) | An indication if an autopsy has been performed on the subject.
Slices for entry |  |  |  | Content/Rules for all slices
entry:histologicalExamPerformed | S | 0..1 | Reference(Observation - Histological Placental Exam Performed) | Whether or not a histological placental examination was performed.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyOrHistologicalExamUsed | S | 0..1 | Reference(Observation - Autopsy or Histological Exam Results Used) | Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberLiveBirthsThisDelivery | S | 0..1 | Reference(Observation - Number of Live Births This Delivery - Vital Records) | Number of live births this delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberFetalDeathsThisDelivery | S | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) | Number of fetal deaths this delivery
section:motherInformation | S | 0..1 | BackboneElement | Mother Administrative Section on the Fetal Death Report
code | S | 1..1 | CodeableConcept | Mother's administrative information Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92014-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the Mother Information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersEducation | S | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Mother's Education
section:fatherInformation | S | 0..1 | BackboneElement | Father section on the Fetal Death Report
code | S | 1..1 | CodeableConcept | Father's administrative information Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92013-2
focus | S | 1..1 | Reference(RelatedPerson - Father Natural - Vital Records) | The focus of this section is the father
section:editFlags | S | 1..1 | BackboneElement | Edit Flags Section
code | S | 1..1 | CodeableConcept | Edit flags section 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: 92012-4
Slices for entry | S | 8..8 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagWeightOfFetus | S | 1..1 | Reference(Observation - Edit Flag Birthweight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagEstimateOfGestation | S | 1..1 | Reference(Observation - Edit Flag Estimate of Gestation) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersDateOfBirth | S | 1..1 | Reference(Observation - Edit Flag Mother's Date of Birth) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersEducation | S | 1..1 | Reference(Observation - Edit Flag Mother's Education) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersHeight | S | 1..1 | Reference(Observation - Edit Flag Mother's Height) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersPrepregnancyWeight | S | 1..1 | Reference(Observation - Edit Flag Mother's Prepregnancy Weight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagNumberPreviousCesareans | S | 1..1 | Reference(Observation - Edit Flag Number of Previous Cesareans) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagPlurality | S | 1..1 | Reference(Observation - Edit Flag Plurality) | A reference to data that supports this section
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension | S | 2..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 1..1 | Identifier | State File Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar | S | 1..1 | dateTime | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-received-by-registrar
replacementStatus | S | 0..1 | CodeableConcept | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | Jurisdiction fetal death report Document 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: 92010-8
subject | S Σ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus
encounter | S Σ | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
date | S Σ | 1..1 | dateTime | Date report completed
author | S Σ | 1..1 | Reference(US Core Organization Profile(5.0.1)) | The author is the jurisdictional Vital Records Office.
title | Σ | 1..1 | string | Human Readable name/title
Slices for section | S C | 1..* | BackboneElement | The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
section:motherPrenatal | S C | 0..1 | BackboneElement | Mother (prenatal) Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57073-9
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome | S C | 0..1 | Reference(Observation - Planned to Deliver at Home) | Planned to deliver at home
entry:firstPrenatalCareVisit | S C | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit
entry:dateLastNormalMenses | S C | 0..1 | Reference(Observation - Last Menstrual Period - Vital Records) | Date last normal menses began
entry:numberNowLiving | S C | 0..1 | Reference(Observation - Number of Births Now Living - Vital Records) | Number of previous live births now living
entry:numberNowDead | S C | 0..1 | Reference(Observation - Number of Births Now Dead - Vital Records) | Number of previous live births now dead
entry:dateLastLiveBirth | S C | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth
entry:mothersHeight | S C | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height
entry:mothersPrepregnancyWeight | S C | 0..1 | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | Mother's prepregnancy weight
entry:motherReceivedWICFood | S C | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy | S C | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation | S C | 0..1 | BackboneElement | Medical and Health Information Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55752-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:pregnancyRiskFactors | S C | 0..* | Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records) | Risk factors in this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberPreviousCesareans | S C | 0..1 | Reference(Observation - Number of Previous Cesareans - Vital Records) | If mother had a previous cesarean delivery, how many
Slices for entry |  |  |  | Content/Rules for all slices
entry:fetalPresentation | S C | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:finalRouteMethodDelivery | S C | 0..1 | Reference(Procedure - Final Route and Method of Delivery) | Final route and method of delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:maternalMorbidity | S C | 0..* | Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) | Maternal morbidity (complications associated with labor and delivery)
section:fetus | S C | 0..1 | BackboneElement | Fetus Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Fetal delivery information Document [US Standard Report of Fetal Death] Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 76400-1
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the fetus section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:deliveryWeight | S C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Delivery weight
Slices for entry |  |  |  | Content/Rules for all slices
entry:gestationalAgeAtDelivery | S C | 0..1 | Reference(Observation - Gestational Age at Delivery - Vital Records) | Obstetric estimate of gestation
Slices for entry |  |  |  | Content/Rules for all slices
entry:causeOfFetalDeath | S C | 0..1 | Reference(Condition - Fetal Death Cause or Condition) | Initiating cause or condition of fetal death
Slices for entry |  |  |  | Content/Rules for all slices
entry:otherCauseOfDeath | S C | 0..* | Reference(Condition - Fetal Death Other Cause or Condition) | Another significant cause or condition for the death of the fetus.
Slices for entry |  |  |  | Content/Rules for all slices
entry:estimatedTimeFetalDeath | S C | 0..1 | Reference(Observation - Fetal Death Time Point) | The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyPerformed | S C | 0..1 | Reference(Observation - Autopsy Performed Indicator - Vital Records) | An indication if an autopsy has been performed on the subject.
Slices for entry |  |  |  | Content/Rules for all slices
entry:histologicalExamPerformed | S C | 0..1 | Reference(Observation - Histological Placental Exam Performed) | Whether or not a histological placental examination was performed.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyOrHistologicalExamUsed | S C | 0..1 | Reference(Observation - Autopsy or Histological Exam Results Used) | Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberLiveBirthsThisDelivery | S C | 0..1 | Reference(Observation - Number of Live Births This Delivery - Vital Records) | Number of live births this delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberFetalDeathsThisDelivery | S C | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) | Number of fetal deaths this delivery
section:motherInformation | S C | 0..1 | BackboneElement | Mother Administrative Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92014-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Mother's Education
section:fatherInformation | S C | 0..1 | BackboneElement | Father section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92013-2
focus | S | 1..1 | Reference(RelatedPerson - Father Natural - Vital Records) | The focus of this section is the father
section:editFlags | S C | 1..1 | BackboneElement | Edit Flags Section 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 | Edit flags section 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: 92012-4
Slices for entry | S C | 8..8 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagWeightOfFetus | S C | 1..1 | Reference(Observation - Edit Flag Birthweight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagEstimateOfGestation | S C | 1..1 | Reference(Observation - Edit Flag Estimate of Gestation) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersDateOfBirth | S C | 1..1 | Reference(Observation - Edit Flag Mother's Date of Birth) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersEducation | S C | 1..1 | Reference(Observation - Edit Flag Mother's Education) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersHeight | S C | 1..1 | Reference(Observation - Edit Flag Mother's Height) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersPrepregnancyWeight | S C | 1..1 | Reference(Observation - Edit Flag Mother's Prepregnancy Weight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagNumberPreviousCesareans | S C | 1..1 | Reference(Observation - Edit Flag Number of Previous Cesareans) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagPlurality | S C | 1..1 | Reference(Observation - Edit Flag Plurality) | A reference to data that supports this section
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 92010-8 `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.section:motherPrenatal.code | example | Pattern: LOINC Code 57073-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:medicalHealthInformation.code | example | Pattern: LOINC Code 55752-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fetus.code | example | Pattern: LOINC Code 76400-1 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherInformation.code | example | Pattern: LOINC Code 92014-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fatherInformation.code | example | Pattern: LOINC Code 92013-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:editFlags.code | example | Pattern: LOINC Code 92012-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
cmp-1 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:editFlags | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:editFlags | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension | S | 2..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 1..1 | Identifier | State File Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar | S | 1..1 | dateTime | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-received-by-registrar
replacementStatus | S | 0..1 | CodeableConcept | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition
status | ?!S Σ | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | Jurisdiction fetal death report Document 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: 92010-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus
encounter | S Σ | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
date | S Σ | 1..1 | dateTime | Date report completed
author | S Σ | 1..1 | Reference(US Core Organization Profile(5.0.1)) | The author is the jurisdictional Vital Records Office.
title | Σ | 1..1 | string | Human Readable name/title
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the composition was attested
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | S C | 1..* | BackboneElement | The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:motherPrenatal | S C | 0..1 | BackboneElement | Mother (prenatal) Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57073-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:plannedToDeliverAtHome | S C | 0..1 | Reference(Observation - Planned to Deliver at Home) | Planned to deliver at home
Slices for entry |  |  |  | Content/Rules for all slices
entry:firstPrenatalCareVisit | S C | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit
Slices for entry |  |  |  | Content/Rules for all slices
entry:dateLastNormalMenses | S C | 0..1 | Reference(Observation - Last Menstrual Period - Vital Records) | Date last normal menses began
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberNowLiving | S C | 0..1 | Reference(Observation - Number of Births Now Living - Vital Records) | Number of previous live births now living
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberNowDead | S C | 0..1 | Reference(Observation - Number of Births Now Dead - Vital Records) | Number of previous live births now dead
Slices for entry |  |  |  | Content/Rules for all slices
entry:dateLastLiveBirth | S C | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersHeight | S C | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height
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
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
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
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:medicalHealthInformation | S C | 0..1 | BackboneElement | Medical and Health Information Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55752-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:pregnancyRiskFactors | S C | 0..* | Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records) | Risk factors in this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberPreviousCesareans | S C | 0..1 | Reference(Observation - Number of Previous Cesareans - Vital Records) | If mother had a previous cesarean delivery, how many
Slices for entry |  |  |  | Content/Rules for all slices
entry:fetalPresentation | S C | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:finalRouteMethodDelivery | S C | 0..1 | Reference(Procedure - Final Route and Method of Delivery) | Final route and method of delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:maternalMorbidity | S C | 0..* | Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) | Maternal morbidity (complications associated with labor and delivery)
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:fetus | S C | 0..1 | BackboneElement | Fetus Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Fetal delivery information Document [US Standard Report of Fetal Death] Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 76400-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the fetus section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:deliveryWeight | S C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Delivery weight
Slices for entry |  |  |  | Content/Rules for all slices
entry:gestationalAgeAtDelivery | S C | 0..1 | Reference(Observation - Gestational Age at Delivery - Vital Records) | Obstetric estimate of gestation
Slices for entry |  |  |  | Content/Rules for all slices
entry:causeOfFetalDeath | S C | 0..1 | Reference(Condition - Fetal Death Cause or Condition) | Initiating cause or condition of fetal death
Slices for entry |  |  |  | Content/Rules for all slices
entry:otherCauseOfDeath | S C | 0..* | Reference(Condition - Fetal Death Other Cause or Condition) | Another significant cause or condition for the death of the fetus.
Slices for entry |  |  |  | Content/Rules for all slices
entry:estimatedTimeFetalDeath | S C | 0..1 | Reference(Observation - Fetal Death Time Point) | The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyPerformed | S C | 0..1 | Reference(Observation - Autopsy Performed Indicator - Vital Records) | An indication if an autopsy has been performed on the subject.
Slices for entry |  |  |  | Content/Rules for all slices
entry:histologicalExamPerformed | S C | 0..1 | Reference(Observation - Histological Placental Exam Performed) | Whether or not a histological placental examination was performed.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyOrHistologicalExamUsed | S C | 0..1 | Reference(Observation - Autopsy or Histological Exam Results Used) | Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberLiveBirthsThisDelivery | S C | 0..1 | Reference(Observation - Number of Live Births This Delivery - Vital Records) | Number of live births this delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberFetalDeathsThisDelivery | S C | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) | Number of fetal deaths this delivery
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:motherInformation | S C | 0..1 | BackboneElement | Mother Administrative Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92014-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Mother's Education
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:fatherInformation | S C | 0..1 | BackboneElement | Father section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92013-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(RelatedPerson - Father Natural - Vital Records) | The focus of this section is the father
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:editFlags | S C | 1..1 | BackboneElement | Edit Flags Section 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 | Edit flags section 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: 92012-4
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 | 8..8 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagWeightOfFetus | S C | 1..1 | Reference(Observation - Edit Flag Birthweight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagEstimateOfGestation | S C | 1..1 | Reference(Observation - Edit Flag Estimate of Gestation) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersDateOfBirth | S C | 1..1 | Reference(Observation - Edit Flag Mother's Date of Birth) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersEducation | S C | 1..1 | Reference(Observation - Edit Flag Mother's Education) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersHeight | S C | 1..1 | Reference(Observation - Edit Flag Mother's Height) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersPrepregnancyWeight | S C | 1..1 | Reference(Observation - Edit Flag Mother's Prepregnancy Weight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagNumberPreviousCesareans | S C | 1..1 | Reference(Observation - Edit Flag Number of Previous Cesareans) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagPlurality | S C | 1..1 | Reference(Observation - Edit Flag Plurality) | 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
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 92010-8 `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.confidentiality | required | v3.ConfidentialityClassification `http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26` from the FHIR Standard
Composition.attester.mode | required | CompositionAttestationMode `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` from the FHIR Standard
Composition.relatesTo.code | required | DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` from the FHIR Standard
Composition.event.code | example | ActCode `http://terminology.hl7.org/ValueSet/v3-ActCode`
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:motherPrenatal.code | example | Pattern: LOINC Code 57073-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherPrenatal.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:motherPrenatal.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:motherPrenatal.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:medicalHealthInformation.code | example | Pattern: LOINC Code 55752-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:medicalHealthInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:medicalHealthInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:medicalHealthInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:fetus.code | example | Pattern: LOINC Code 76400-1 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fetus.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:fetus.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:fetus.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:motherInformation.code | example | Pattern: LOINC Code 92014-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:motherInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:motherInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:fatherInformation.code | example | Pattern: LOINC Code 92013-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fatherInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:fatherInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:fatherInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:editFlags.code | example | Pattern: LOINC Code 92012-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:editFlags.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:editFlags.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:editFlags.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
cmp-1 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:editFlags | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:editFlags | 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: 14 elements(13 nested mandatory elements)
Must-Support: 67 elements

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension | S | 2..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 1..1 | Identifier | State File Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar | S | 1..1 | dateTime | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-received-by-registrar
replacementStatus | S | 0..1 | CodeableConcept | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
status | S | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
type | S | 1..1 | CodeableConcept | Jurisdiction fetal death report 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: 92010-8
subject | S | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus
encounter | S | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
date | S | 1..1 | dateTime | Date report completed
author | S | 1..1 | Reference(US Core Organization Profile(5.0.1)) | The author is the jurisdictional Vital Records Office.
Slices for section | S | 1..* | BackboneElement | The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. Slice: Unordered, Open by pattern:code
section:motherPrenatal | S | 0..1 | BackboneElement | Mother (prenatal) Section on the Fetal Death Report
code | S | 1..1 | CodeableConcept | Prenatal records Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57073-9
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome | S | 0..1 | Reference(Observation - Planned to Deliver at Home) | Planned to deliver at home
entry:firstPrenatalCareVisit | S | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit
entry:dateLastNormalMenses | S | 0..1 | Reference(Observation - Last Menstrual Period - Vital Records) | Date last normal menses began
entry:numberNowLiving | S | 0..1 | Reference(Observation - Number of Births Now Living - Vital Records) | Number of previous live births now living
entry:numberNowDead | S | 0..1 | Reference(Observation - Number of Births Now Dead - Vital Records) | Number of previous live births now dead
entry:dateLastLiveBirth | S | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth
entry:mothersHeight | S | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height
entry:mothersPrepregnancyWeight | S | 0..1 | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | Mother's prepregnancy weight
entry:motherReceivedWICFood | S | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy | S | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation | S | 0..1 | BackboneElement | Medical and Health Information Section on the Fetal Death Report
code | S | 1..1 | CodeableConcept | Clinical information Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55752-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:pregnancyRiskFactors | S | 0..* | Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records) | Risk factors in this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberPreviousCesareans | S | 0..1 | Reference(Observation - Number of Previous Cesareans - Vital Records) | If mother had a previous cesarean delivery, how many
Slices for entry |  |  |  | Content/Rules for all slices
entry:fetalPresentation | S | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:finalRouteMethodDelivery | S | 0..1 | Reference(Procedure - Final Route and Method of Delivery) | Final route and method of delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:maternalMorbidity | S | 0..* | Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) | Maternal morbidity (complications associated with labor and delivery)
section:fetus | S | 0..1 | BackboneElement | Fetus Section on the Fetal Death Report
code | S | 1..1 | CodeableConcept | Fetal delivery information Document [US Standard Report of Fetal Death] Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 76400-1
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the fetus section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:deliveryWeight | S | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Delivery weight
Slices for entry |  |  |  | Content/Rules for all slices
entry:gestationalAgeAtDelivery | S | 0..1 | Reference(Observation - Gestational Age at Delivery - Vital Records) | Obstetric estimate of gestation
Slices for entry |  |  |  | Content/Rules for all slices
entry:causeOfFetalDeath | S | 0..1 | Reference(Condition - Fetal Death Cause or Condition) | Initiating cause or condition of fetal death
Slices for entry |  |  |  | Content/Rules for all slices
entry:otherCauseOfDeath | S | 0..* | Reference(Condition - Fetal Death Other Cause or Condition) | Another significant cause or condition for the death of the fetus.
Slices for entry |  |  |  | Content/Rules for all slices
entry:estimatedTimeFetalDeath | S | 0..1 | Reference(Observation - Fetal Death Time Point) | The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyPerformed | S | 0..1 | Reference(Observation - Autopsy Performed Indicator - Vital Records) | An indication if an autopsy has been performed on the subject.
Slices for entry |  |  |  | Content/Rules for all slices
entry:histologicalExamPerformed | S | 0..1 | Reference(Observation - Histological Placental Exam Performed) | Whether or not a histological placental examination was performed.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyOrHistologicalExamUsed | S | 0..1 | Reference(Observation - Autopsy or Histological Exam Results Used) | Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberLiveBirthsThisDelivery | S | 0..1 | Reference(Observation - Number of Live Births This Delivery - Vital Records) | Number of live births this delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberFetalDeathsThisDelivery | S | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) | Number of fetal deaths this delivery
section:motherInformation | S | 0..1 | BackboneElement | Mother Administrative Section on the Fetal Death Report
code | S | 1..1 | CodeableConcept | Mother's administrative information Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92014-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S | 1..* | Reference(Resource) | Entries that are contained in the Mother Information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersEducation | S | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Mother's Education
section:fatherInformation | S | 0..1 | BackboneElement | Father section on the Fetal Death Report
code | S | 1..1 | CodeableConcept | Father's administrative information Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92013-2
focus | S | 1..1 | Reference(RelatedPerson - Father Natural - Vital Records) | The focus of this section is the father
section:editFlags | S | 1..1 | BackboneElement | Edit Flags Section
code | S | 1..1 | CodeableConcept | Edit flags section 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: 92012-4
Slices for entry | S | 8..8 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagWeightOfFetus | S | 1..1 | Reference(Observation - Edit Flag Birthweight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagEstimateOfGestation | S | 1..1 | Reference(Observation - Edit Flag Estimate of Gestation) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersDateOfBirth | S | 1..1 | Reference(Observation - Edit Flag Mother's Date of Birth) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersEducation | S | 1..1 | Reference(Observation - Edit Flag Mother's Education) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersHeight | S | 1..1 | Reference(Observation - Edit Flag Mother's Height) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersPrepregnancyWeight | S | 1..1 | Reference(Observation - Edit Flag Mother's Prepregnancy Weight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagNumberPreviousCesareans | S | 1..1 | Reference(Observation - Edit Flag Number of Previous Cesareans) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagPlurality | S | 1..1 | Reference(Observation - Edit Flag Plurality) | A reference to data that supports this section
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension | S | 2..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 1..1 | Identifier | State File Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar | S | 1..1 | dateTime | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-received-by-registrar
replacementStatus | S | 0..1 | CodeableConcept | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | Jurisdiction fetal death report Document 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: 92010-8
subject | S Σ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus
encounter | S Σ | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
date | S Σ | 1..1 | dateTime | Date report completed
author | S Σ | 1..1 | Reference(US Core Organization Profile(5.0.1)) | The author is the jurisdictional Vital Records Office.
title | Σ | 1..1 | string | Human Readable name/title
Slices for section | S C | 1..* | BackboneElement | The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
section:motherPrenatal | S C | 0..1 | BackboneElement | Mother (prenatal) Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57073-9
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome | S C | 0..1 | Reference(Observation - Planned to Deliver at Home) | Planned to deliver at home
entry:firstPrenatalCareVisit | S C | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit
entry:dateLastNormalMenses | S C | 0..1 | Reference(Observation - Last Menstrual Period - Vital Records) | Date last normal menses began
entry:numberNowLiving | S C | 0..1 | Reference(Observation - Number of Births Now Living - Vital Records) | Number of previous live births now living
entry:numberNowDead | S C | 0..1 | Reference(Observation - Number of Births Now Dead - Vital Records) | Number of previous live births now dead
entry:dateLastLiveBirth | S C | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth
entry:mothersHeight | S C | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height
entry:mothersPrepregnancyWeight | S C | 0..1 | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | Mother's prepregnancy weight
entry:motherReceivedWICFood | S C | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy | S C | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation | S C | 0..1 | BackboneElement | Medical and Health Information Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55752-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:pregnancyRiskFactors | S C | 0..* | Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records) | Risk factors in this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberPreviousCesareans | S C | 0..1 | Reference(Observation - Number of Previous Cesareans - Vital Records) | If mother had a previous cesarean delivery, how many
Slices for entry |  |  |  | Content/Rules for all slices
entry:fetalPresentation | S C | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:finalRouteMethodDelivery | S C | 0..1 | Reference(Procedure - Final Route and Method of Delivery) | Final route and method of delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:maternalMorbidity | S C | 0..* | Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) | Maternal morbidity (complications associated with labor and delivery)
section:fetus | S C | 0..1 | BackboneElement | Fetus Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Fetal delivery information Document [US Standard Report of Fetal Death] Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 76400-1
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the fetus section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:deliveryWeight | S C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Delivery weight
Slices for entry |  |  |  | Content/Rules for all slices
entry:gestationalAgeAtDelivery | S C | 0..1 | Reference(Observation - Gestational Age at Delivery - Vital Records) | Obstetric estimate of gestation
Slices for entry |  |  |  | Content/Rules for all slices
entry:causeOfFetalDeath | S C | 0..1 | Reference(Condition - Fetal Death Cause or Condition) | Initiating cause or condition of fetal death
Slices for entry |  |  |  | Content/Rules for all slices
entry:otherCauseOfDeath | S C | 0..* | Reference(Condition - Fetal Death Other Cause or Condition) | Another significant cause or condition for the death of the fetus.
Slices for entry |  |  |  | Content/Rules for all slices
entry:estimatedTimeFetalDeath | S C | 0..1 | Reference(Observation - Fetal Death Time Point) | The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyPerformed | S C | 0..1 | Reference(Observation - Autopsy Performed Indicator - Vital Records) | An indication if an autopsy has been performed on the subject.
Slices for entry |  |  |  | Content/Rules for all slices
entry:histologicalExamPerformed | S C | 0..1 | Reference(Observation - Histological Placental Exam Performed) | Whether or not a histological placental examination was performed.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyOrHistologicalExamUsed | S C | 0..1 | Reference(Observation - Autopsy or Histological Exam Results Used) | Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberLiveBirthsThisDelivery | S C | 0..1 | Reference(Observation - Number of Live Births This Delivery - Vital Records) | Number of live births this delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberFetalDeathsThisDelivery | S C | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) | Number of fetal deaths this delivery
section:motherInformation | S C | 0..1 | BackboneElement | Mother Administrative Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92014-0
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Mother's Education
section:fatherInformation | S C | 0..1 | BackboneElement | Father section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92013-2
focus | S | 1..1 | Reference(RelatedPerson - Father Natural - Vital Records) | The focus of this section is the father
section:editFlags | S C | 1..1 | BackboneElement | Edit Flags Section 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 | Edit flags section 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: 92012-4
Slices for entry | S C | 8..8 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagWeightOfFetus | S C | 1..1 | Reference(Observation - Edit Flag Birthweight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagEstimateOfGestation | S C | 1..1 | Reference(Observation - Edit Flag Estimate of Gestation) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersDateOfBirth | S C | 1..1 | Reference(Observation - Edit Flag Mother's Date of Birth) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersEducation | S C | 1..1 | Reference(Observation - Edit Flag Mother's Education) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersHeight | S C | 1..1 | Reference(Observation - Edit Flag Mother's Height) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersPrepregnancyWeight | S C | 1..1 | Reference(Observation - Edit Flag Mother's Prepregnancy Weight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagNumberPreviousCesareans | S C | 1..1 | Reference(Observation - Edit Flag Number of Previous Cesareans) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagPlurality | S C | 1..1 | Reference(Observation - Edit Flag Plurality) | A reference to data that supports this section
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 92010-8 `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.section:motherPrenatal.code | example | Pattern: LOINC Code 57073-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:medicalHealthInformation.code | example | Pattern: LOINC Code 55752-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fetus.code | example | Pattern: LOINC Code 76400-1 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherInformation.code | example | Pattern: LOINC Code 92014-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fatherInformation.code | example | Pattern: LOINC Code 92013-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:editFlags.code | example | Pattern: LOINC Code 92012-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
cmp-1 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:editFlags | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:editFlags | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension | S | 2..* | Extension | Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber | S | 1..1 | Identifier | State File Number URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber | S | 0..1 | Identifier | Local File No. URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar | S | 1..1 | dateTime | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-received-by-registrar
replacementStatus | S | 0..1 | CodeableConcept | Extension URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition
status | ?!S Σ | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | Jurisdiction fetal death report Document 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: 92010-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(Patient - Decedent Fetus - Vital Records) | The subject of the composition is the decedent fetus
encounter | S Σ | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter.
date | S Σ | 1..1 | dateTime | Date report completed
author | S Σ | 1..1 | Reference(US Core Organization Profile(5.0.1)) | The author is the jurisdictional Vital Records Office.
title | Σ | 1..1 | string | Human Readable name/title
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the composition was attested
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | S C | 1..* | BackboneElement | The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:motherPrenatal | S C | 0..1 | BackboneElement | Mother (prenatal) Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57073-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:plannedToDeliverAtHome | S C | 0..1 | Reference(Observation - Planned to Deliver at Home) | Planned to deliver at home
Slices for entry |  |  |  | Content/Rules for all slices
entry:firstPrenatalCareVisit | S C | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit
Slices for entry |  |  |  | Content/Rules for all slices
entry:dateLastNormalMenses | S C | 0..1 | Reference(Observation - Last Menstrual Period - Vital Records) | Date last normal menses began
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberNowLiving | S C | 0..1 | Reference(Observation - Number of Births Now Living - Vital Records) | Number of previous live births now living
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberNowDead | S C | 0..1 | Reference(Observation - Number of Births Now Dead - Vital Records) | Number of previous live births now dead
Slices for entry |  |  |  | Content/Rules for all slices
entry:dateLastLiveBirth | S C | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersHeight | S C | 0..1 | Reference(Observation - Mother Height - Vital Records) | Mother's height
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
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
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
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:medicalHealthInformation | S C | 0..1 | BackboneElement | Medical and Health Information Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55752-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:pregnancyRiskFactors | S C | 0..* | Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records) | Risk factors in this pregnancy
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberPreviousCesareans | S C | 0..1 | Reference(Observation - Number of Previous Cesareans - Vital Records) | If mother had a previous cesarean delivery, how many
Slices for entry |  |  |  | Content/Rules for all slices
entry:fetalPresentation | S C | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth
Slices for entry |  |  |  | Content/Rules for all slices
entry:finalRouteMethodDelivery | S C | 0..1 | Reference(Procedure - Final Route and Method of Delivery) | Final route and method of delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:maternalMorbidity | S C | 0..* | Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) | Maternal morbidity (complications associated with labor and delivery)
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:fetus | S C | 0..1 | BackboneElement | Fetus Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Fetal delivery information Document [US Standard Report of Fetal Death] Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 76400-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the fetus section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:deliveryWeight | S C | 0..1 | Reference(Observation - Birth Weight - Vital Records) | Delivery weight
Slices for entry |  |  |  | Content/Rules for all slices
entry:gestationalAgeAtDelivery | S C | 0..1 | Reference(Observation - Gestational Age at Delivery - Vital Records) | Obstetric estimate of gestation
Slices for entry |  |  |  | Content/Rules for all slices
entry:causeOfFetalDeath | S C | 0..1 | Reference(Condition - Fetal Death Cause or Condition) | Initiating cause or condition of fetal death
Slices for entry |  |  |  | Content/Rules for all slices
entry:otherCauseOfDeath | S C | 0..* | Reference(Condition - Fetal Death Other Cause or Condition) | Another significant cause or condition for the death of the fetus.
Slices for entry |  |  |  | Content/Rules for all slices
entry:estimatedTimeFetalDeath | S C | 0..1 | Reference(Observation - Fetal Death Time Point) | The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyPerformed | S C | 0..1 | Reference(Observation - Autopsy Performed Indicator - Vital Records) | An indication if an autopsy has been performed on the subject.
Slices for entry |  |  |  | Content/Rules for all slices
entry:histologicalExamPerformed | S C | 0..1 | Reference(Observation - Histological Placental Exam Performed) | Whether or not a histological placental examination was performed.
Slices for entry |  |  |  | Content/Rules for all slices
entry:autopsyOrHistologicalExamUsed | S C | 0..1 | Reference(Observation - Autopsy or Histological Exam Results Used) | Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberLiveBirthsThisDelivery | S C | 0..1 | Reference(Observation - Number of Live Births This Delivery - Vital Records) | Number of live births this delivery
Slices for entry |  |  |  | Content/Rules for all slices
entry:numberFetalDeathsThisDelivery | S C | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery - Vital Records) | Number of fetal deaths this delivery
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:motherInformation | S C | 0..1 | BackboneElement | Mother Administrative Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92014-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(Patient - Mother - Vital Records) | The focus of this section is the mother
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..* | Reference(Resource) | Entries that are contained in the Mother Information section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:mothersEducation | S C | 0..1 | Reference(Observation - Parent Education Level - Vital Records) | Mother's Education
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:fatherInformation | S C | 0..1 | BackboneElement | Father section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92013-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus | S | 1..1 | Reference(RelatedPerson - Father Natural - Vital Records) | The focus of this section is the father
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:editFlags | S C | 1..1 | BackboneElement | Edit Flags Section 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 | Edit flags section 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: 92012-4
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 | 8..8 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagWeightOfFetus | S C | 1..1 | Reference(Observation - Edit Flag Birthweight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagEstimateOfGestation | S C | 1..1 | Reference(Observation - Edit Flag Estimate of Gestation) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersDateOfBirth | S C | 1..1 | Reference(Observation - Edit Flag Mother's Date of Birth) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersEducation | S C | 1..1 | Reference(Observation - Edit Flag Mother's Education) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersHeight | S C | 1..1 | Reference(Observation - Edit Flag Mother's Height) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagMothersPrepregnancyWeight | S C | 1..1 | Reference(Observation - Edit Flag Mother's Prepregnancy Weight) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagNumberPreviousCesareans | S C | 1..1 | Reference(Observation - Edit Flag Number of Previous Cesareans) | A reference to data that supports this section
Slices for entry |  |  |  | Content/Rules for all slices
entry:editFlagPlurality | S C | 1..1 | Reference(Observation - Edit Flag Plurality) | 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
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 92010-8 `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.confidentiality | required | v3.ConfidentialityClassification `http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26` from the FHIR Standard
Composition.attester.mode | required | CompositionAttestationMode `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` from the FHIR Standard
Composition.relatesTo.code | required | DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` from the FHIR Standard
Composition.event.code | example | ActCode `http://terminology.hl7.org/ValueSet/v3-ActCode`
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:motherPrenatal.code | example | Pattern: LOINC Code 57073-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherPrenatal.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:motherPrenatal.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:motherPrenatal.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:medicalHealthInformation.code | example | Pattern: LOINC Code 55752-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:medicalHealthInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:medicalHealthInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:medicalHealthInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:fetus.code | example | Pattern: LOINC Code 76400-1 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fetus.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:fetus.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:fetus.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:motherInformation.code | example | Pattern: LOINC Code 92014-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:motherInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:motherInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:motherInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:fatherInformation.code | example | Pattern: LOINC Code 92013-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:fatherInformation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:fatherInformation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:fatherInformation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:editFlags.code | example | Pattern: LOINC Code 92012-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:editFlags.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:editFlags.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:editFlags.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
cmp-1 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:editFlags | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:fetus, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:editFlags | 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: 14 elements(13 nested mandatory elements)
Must-Support: 67 elements

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

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

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