Vital Records FHIR Messaging (VRFM) IG
3.0.0-Preview1 - ci-build

Vital Records FHIR Messaging (VRFM) IG, published by CDC NCHS. This guide is not an authorized publication; it is the continuous build for version 3.0.0-Preview1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nightingaleproject/vital_records_fhir_messaging_ig/ and changes regularly. See the Directory of published versions

ValueSet: Pregnancy Outcome Values

Official URL: http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/ValueSet/VRM-PregnancyOutcomes-vs Version: 3.0.0-Preview1
Draft as of 2025-07-09 Computable Name: PregnancyOutcomesVS

Pregnancy Outcome Values

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    276507005Fetal Death
    281050002Live Birth
    17369002Spontaneous Abortion
    57797005Induced Abortion
    34801009Ectopic Pregnancy
    44782008Molar Pregnancy
  • Include these codes as defined in http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-coded-pregnancy-status-cs
    CodeDisplay
    live-birth-and-fetal-death Live birth(s) and fetal death(s)
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    UNK Unknown **Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
    OTH Other **Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).

    **Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \*any\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.

    With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.

 

Expansion

Expansion from tx.fhir.org based on:

This value set contains 9 concepts

CodeSystemDisplay (en-US)InactiveDefinition
  276507005http://snomed.info/sctFetal death
  281050002http://snomed.info/sctLivebirth
  17369002http://snomed.info/sctSpontaneous abortion
  57797005http://snomed.info/sctInduced abortion
  34801009http://snomed.info/sctEctopic pregnancy
  44782008http://snomed.info/sctMolar pregnancyinactive
  live-birth-and-fetal-deathhttp://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-coded-pregnancy-status-csLive birth(s) and fetal death(s)
  UNKhttp://terminology.hl7.org/CodeSystem/v3-NullFlavorUnknown

**Description:**A proper value is applicable, but not known.

Usage Notes: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

  1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
  2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
  OTHhttp://terminology.hl7.org/CodeSystem/v3-NullFlavorOther

**Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).

Usage Notes: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to *any* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.

With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code