Vital Records Birth and Fetal Death Reporting
0.1.0 - STU 1 Ballot

This page is part of the Vital Records Birth and Fetal Death Reporting (v0.1.0: STU 1 on FHIR R4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: Composition - Provider Live Birth Report

Defining URL:http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-live-birth-report
Version:0.1.0
Name:CompositionProviderLiveBirthReport
Title:Composition - Provider Live Birth Report
Status:Active as of 2020-12-16T19:12:11+00:00
Definition:

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

This Composition profile defines constraints to address the use case in which information for live birth information is recorded and communicated to the jurisdicational Vital Records Office. For the most part, labor and delivery takes place at a healthcare provider site. When a baby is delivered at home, or on the way to the hospital, the mother and baby are typically taken to the hospital for evaluation and possible treatment. Personal and pregnancy information is collected from the mother or an informant, while information regarding labor and delivery and the condition of the newborn is collected from the responsible party at the healthcare facility. The information from these two sources may be communicated to the jurisdiction vital records office at the same time (using this profile) or separately (using the Composition-provider-mothers-live-birth-report and Composition-provider-facility-live-birth-report).

The data requirements for provider supplied live birth information are based on the Edit Specifications for the 2003 Revision of the U.S. Standard Certificate of Birth, the 2016 US Standard Facility Worksheet for the Live Birth Certificate, the 2016 US Standard Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births, and the 2016 US Standard Mothers Worksheet for Child's Birth Certificate. The jurisdiction may have additional data requirements and edit specifications that will be addressed at the jurisdictional level.

Publisher:HL7 International - Public Health Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-live-birth-report

Formal Views of Profile Content

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

This structure is derived from Composition

Summary

Mandatory: 1 element
Must-Support: 39 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.section is sliced based on the value of value:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.resolve()
  • The element Composition.section.entry is sliced based on the value of profile:resolve()

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-birth-certificate-id 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-id
... Extension-birth-certificate-file-number 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-file-number
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 68998-4
... subject 1..1Reference(Patient - Child)Who and/or what the composition is about
... encounter S0..1Reference(Encounter - Birth)Context of the Composition
... section 0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:motherPrenatal S0..1BackboneElementMother (prenatal) section on the Live Birth Certificate
..... code 0..1CodeableConceptPrenatal records
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... entry 0..*(Slice Definition)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome S0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
...... entry:firstPrenatalCareVisit S0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:numberPrenatalCareVisits S0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
...... entry:dateLastNormalMenses S0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving S0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead S0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth S0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:numberOtherOutcomes S0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome S0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
...... entry:principalSourceOfPayment S0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery S0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
...... entry:mothersHeight S0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight S0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood S0..1Reference(Observation - Mother Recieved WIC Food)Use of the WIC nutritional program by the mother
...... entry:cigaretteSmokingBeforeDuringPregnancy S0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation S0..1BackboneElementMedical and Health Informatino section on the Live Birth Certificate
..... code 0..1CodeableConceptClinical information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... entry 0..*(Slice Definition)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors S0..*Reference(Observation - Pregnancy Risk Factor)Risk factors in this pregnancy
...... entry:numberPreviousCesareans S0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy S0..*Reference(Condition - Infection Present During Pregnancy)Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures S0..*Reference(Procedure - Obstetric)Obstetric procedures
...... entry:characteristicsLaborDelivery S0..*Reference(Observation - Characteristic of Labor and Delivery)Characteristics fo labor and delivery
...... entry:fetalPresentation S0..1Reference(Condition - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery S0..1Reference(Procedure - Final Route and Method of Delivery)Final route and method of delivery
...... entry:trialLaborAttempted S0..1Reference(Observation - Labor Trial Attempted)If cesearean, was a trial of labor attempted?
...... entry:maternalMorbidity S0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
.... section:newbornInformation S0..1BackboneElementNewborn section on the Live Birth Certificate
..... code 0..1CodeableConceptNewborn delivery information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57075-4
..... entry 0..*(Slice Definition)Entries that are contained in the newborn section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight S0..1Reference(Observation - Birth Weight)Birthweight
...... entry:gestationalAgeAtDelivery S0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:APGARScore S0..2Reference(Observation - APGAR Score)APGAR Score
...... entry:plurality S0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
...... entry:abnormalConditionsNewborn S0..*Reference(Condition - Abnormal Condition of Newborn)Abnormal conditions of the newborn
...... entry:congenitalAnomaliesNewborn S0..*Reference(Condition - Congenital Anomaly of Newborn)Congenital anomolies of the newborn
...... entry:infantLiving S0..1Reference(Observation - Infant Living)Is infant living at time of report?
...... entry:infantBreastfedAtDischarge S0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
.... section:motherInformation S0..1BackboneElementComposition is broken into sections
..... code 0..1CodeableConceptMother's administrative information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92014-0
..... focus 0..1Reference(Patient - Mother)Who/what the section is about, when it is not about the subject of composition
..... entry 0..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:education 0..*Reference(Observation - Parent Education Level)A reference to data that supports this section
.... section:fatherInformation S0..1BackboneElementComposition is broken into sections
..... code 0..1CodeableConceptFather's administrative information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92013-2
..... focus 0..1Reference(RelatedPerson - Father Natural)Who/what the section is about, when it is not about the subject of composition
..... entry 0..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:education S0..1Reference(Observation - Parent Education Level)A reference to data that supports this section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-birth-certificate-id 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-id
... Extension-birth-certificate-file-number 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-file-number
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptU.S. standard certificate of live birth - 2003 revision
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 68998-4
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(Patient - Child)Who and/or what the composition is about
... encounter SΣ0..1Reference(Encounter - Birth)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(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 Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:motherPrenatal SI0..1BackboneElementMother (prenatal) section on the Live Birth Certificate
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptPrenatal records
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome SI0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
...... entry:firstPrenatalCareVisit SI0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:numberPrenatalCareVisits SI0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
...... entry:dateLastNormalMenses SI0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving SI0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead SI0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth SI0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:numberOtherOutcomes SI0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome SI0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
...... entry:principalSourceOfPayment SI0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery SI0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
...... entry:mothersHeight SI0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight SI0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood SI0..1Reference(Observation - Mother Recieved WIC Food)Use of the WIC nutritional program by the mother
...... entry:cigaretteSmokingBeforeDuringPregnancy SI0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:medicalHealthInformation SI0..1BackboneElementMedical and Health Informatino section on the Live Birth Certificate
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClinical information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors SI0..*Reference(Observation - Pregnancy Risk Factor)Risk factors in this pregnancy
...... entry:numberPreviousCesareans SI0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy SI0..*Reference(Condition - Infection Present During Pregnancy)Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures SI0..*Reference(Procedure - Obstetric)Obstetric procedures
...... entry:characteristicsLaborDelivery SI0..*Reference(Observation - Characteristic of Labor and Delivery)Characteristics fo labor and delivery
...... entry:fetalPresentation SI0..1Reference(Condition - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery SI0..1Reference(Procedure - Final Route and Method of Delivery)Final route and method of delivery
...... entry:trialLaborAttempted SI0..1Reference(Observation - Labor Trial Attempted)If cesearean, was a trial of labor attempted?
...... entry:maternalMorbidity SI0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:newbornInformation SI0..1BackboneElementNewborn section on the Live Birth Certificate
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptNewborn delivery information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57075-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the newborn section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight SI0..1Reference(Observation - Birth Weight)Birthweight
...... entry:gestationalAgeAtDelivery SI0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:APGARScore SI0..2Reference(Observation - APGAR Score)APGAR Score
...... entry:plurality SI0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
...... entry:abnormalConditionsNewborn SI0..*Reference(Condition - Abnormal Condition of Newborn)Abnormal conditions of the newborn
...... entry:congenitalAnomaliesNewborn SI0..*Reference(Condition - Congenital Anomaly of Newborn)Congenital anomolies of the newborn
...... entry:infantLiving SI0..1Reference(Observation - Infant Living)Is infant living at time of report?
...... entry:infantBreastfedAtDischarge SI0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:motherInformation SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptMother's administrative information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92014-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Patient - Mother)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:education I0..*Reference(Observation - Parent Education Level)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:fatherInformation SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptFather's administrative information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92013-2
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(RelatedPerson - Father Natural)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:education SI0..1Reference(Observation - Parent Education Level)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... encounter Σ0..1Reference(Encounter - Birth)Context of the Composition
... section:motherPrenatal I0..1BackboneElementMother (prenatal) section on the Live Birth Certificate
.... entry:plannedToDeliverAtHome I0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
.... entry:firstPrenatalCareVisit I0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
.... entry:numberPrenatalCareVisits I0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
.... entry:dateLastNormalMenses I0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
.... entry:numberNowLiving I0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
.... entry:numberNowDead I0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
.... entry:dateLastLiveBirth I0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
.... entry:numberOtherOutcomes I0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
.... entry:dateLastOtherOutcome I0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
.... entry:principalSourceOfPayment I0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
.... entry:mothersWeightAtDelivery I0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
.... entry:mothersHeight I0..1Reference(Observation - Mother Height)Mother's height
.... entry:mothersPrepregnancyWeight I0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
.... entry:motherReceivedWICFood I0..1Reference(Observation - Mother Recieved WIC Food)Use of the WIC nutritional program by the mother
.... entry:cigaretteSmokingBeforeDuringPregnancy I0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
... section:medicalHealthInformation I0..1BackboneElementMedical and Health Informatino section on the Live Birth Certificate
.... entry:pregnancyRiskFactors I0..*Reference(Observation - Pregnancy Risk Factor)Risk factors in this pregnancy
.... entry:numberPreviousCesareans I0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
.... entry:infectionsDuringPregnancy I0..*Reference(Condition - Infection Present During Pregnancy)Infections present and/or treated during this pregnancy
.... entry:obstetricProcedures I0..*Reference(Procedure - Obstetric)Obstetric procedures
.... entry:characteristicsLaborDelivery I0..*Reference(Observation - Characteristic of Labor and Delivery)Characteristics fo labor and delivery
.... entry:fetalPresentation I0..1Reference(Condition - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
.... entry:finalRouteMethodDelivery I0..1Reference(Procedure - Final Route and Method of Delivery)Final route and method of delivery
.... entry:trialLaborAttempted I0..1Reference(Observation - Labor Trial Attempted)If cesearean, was a trial of labor attempted?
.... entry:maternalMorbidity I0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
.... entry:birthWeight I0..1Reference(Observation - Birth Weight)Birthweight
.... entry:gestationalAgeAtDelivery I0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
.... entry:APGARScore I0..2Reference(Observation - APGAR Score)APGAR Score
.... entry:plurality I0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
.... entry:abnormalConditionsNewborn I0..*Reference(Condition - Abnormal Condition of Newborn)Abnormal conditions of the newborn
.... entry:congenitalAnomaliesNewborn I0..*Reference(Condition - Congenital Anomaly of Newborn)Congenital anomolies of the newborn
.... entry:infantLiving I0..1Reference(Observation - Infant Living)Is infant living at time of report?
.... entry:infantBreastfedAtDischarge I0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
... section:motherInformation I0..1BackboneElementComposition is broken into sections
... section:fatherInformation I0..1BackboneElementComposition is broken into sections
.... entry:education I0..1Reference(Observation - Parent Education Level)A reference to data that supports this section

doco Documentation for this format

This structure is derived from Composition

Summary

Mandatory: 1 element
Must-Support: 39 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.section is sliced based on the value of value:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.resolve()
  • The element Composition.section.entry is sliced based on the value of profile:resolve()

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-birth-certificate-id 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-id
... Extension-birth-certificate-file-number 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-file-number
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 68998-4
... subject 1..1Reference(Patient - Child)Who and/or what the composition is about
... encounter S0..1Reference(Encounter - Birth)Context of the Composition
... section 0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:motherPrenatal S0..1BackboneElementMother (prenatal) section on the Live Birth Certificate
..... code 0..1CodeableConceptPrenatal records
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... entry 0..*(Slice Definition)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome S0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
...... entry:firstPrenatalCareVisit S0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:numberPrenatalCareVisits S0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
...... entry:dateLastNormalMenses S0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving S0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead S0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth S0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:numberOtherOutcomes S0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome S0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
...... entry:principalSourceOfPayment S0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery S0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
...... entry:mothersHeight S0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight S0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood S0..1Reference(Observation - Mother Recieved WIC Food)Use of the WIC nutritional program by the mother
...... entry:cigaretteSmokingBeforeDuringPregnancy S0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation S0..1BackboneElementMedical and Health Informatino section on the Live Birth Certificate
..... code 0..1CodeableConceptClinical information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... entry 0..*(Slice Definition)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors S0..*Reference(Observation - Pregnancy Risk Factor)Risk factors in this pregnancy
...... entry:numberPreviousCesareans S0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy S0..*Reference(Condition - Infection Present During Pregnancy)Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures S0..*Reference(Procedure - Obstetric)Obstetric procedures
...... entry:characteristicsLaborDelivery S0..*Reference(Observation - Characteristic of Labor and Delivery)Characteristics fo labor and delivery
...... entry:fetalPresentation S0..1Reference(Condition - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery S0..1Reference(Procedure - Final Route and Method of Delivery)Final route and method of delivery
...... entry:trialLaborAttempted S0..1Reference(Observation - Labor Trial Attempted)If cesearean, was a trial of labor attempted?
...... entry:maternalMorbidity S0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
.... section:newbornInformation S0..1BackboneElementNewborn section on the Live Birth Certificate
..... code 0..1CodeableConceptNewborn delivery information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57075-4
..... entry 0..*(Slice Definition)Entries that are contained in the newborn section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight S0..1Reference(Observation - Birth Weight)Birthweight
...... entry:gestationalAgeAtDelivery S0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:APGARScore S0..2Reference(Observation - APGAR Score)APGAR Score
...... entry:plurality S0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
...... entry:abnormalConditionsNewborn S0..*Reference(Condition - Abnormal Condition of Newborn)Abnormal conditions of the newborn
...... entry:congenitalAnomaliesNewborn S0..*Reference(Condition - Congenital Anomaly of Newborn)Congenital anomolies of the newborn
...... entry:infantLiving S0..1Reference(Observation - Infant Living)Is infant living at time of report?
...... entry:infantBreastfedAtDischarge S0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
.... section:motherInformation S0..1BackboneElementComposition is broken into sections
..... code 0..1CodeableConceptMother's administrative information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92014-0
..... focus 0..1Reference(Patient - Mother)Who/what the section is about, when it is not about the subject of composition
..... entry 0..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:education 0..*Reference(Observation - Parent Education Level)A reference to data that supports this section
.... section:fatherInformation S0..1BackboneElementComposition is broken into sections
..... code 0..1CodeableConceptFather's administrative information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92013-2
..... focus 0..1Reference(RelatedPerson - Father Natural)Who/what the section is about, when it is not about the subject of composition
..... entry 0..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:education S0..1Reference(Observation - Parent Education Level)A reference to data that supports this section

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-birth-certificate-id 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-id
... Extension-birth-certificate-file-number 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-file-number
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptU.S. standard certificate of live birth - 2003 revision
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 68998-4
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(Patient - Child)Who and/or what the composition is about
... encounter SΣ0..1Reference(Encounter - Birth)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(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 Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:motherPrenatal SI0..1BackboneElementMother (prenatal) section on the Live Birth Certificate
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptPrenatal records
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome SI0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
...... entry:firstPrenatalCareVisit SI0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:numberPrenatalCareVisits SI0..1Reference(Observation - Number of Prenatal Visits)Number of prenatal care visits
...... entry:dateLastNormalMenses SI0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving SI0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead SI0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth SI0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:numberOtherOutcomes SI0..1Reference(Observation - Number of Other Pregnancy Outcomes)Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome SI0..1Reference(Observation - Date of Last Other Pregnancy Outcome)Date of last other pregnancy outcome
...... entry:principalSourceOfPayment SI0..1Reference(Coverage - Principal Payer for Delivery)Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery SI0..1Reference(Observation - Mother Delivery Weight)Mother's weight at delivery
...... entry:mothersHeight SI0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight SI0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood SI0..1Reference(Observation - Mother Recieved WIC Food)Use of the WIC nutritional program by the mother
...... entry:cigaretteSmokingBeforeDuringPregnancy SI0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:medicalHealthInformation SI0..1BackboneElementMedical and Health Informatino section on the Live Birth Certificate
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClinical information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors SI0..*Reference(Observation - Pregnancy Risk Factor)Risk factors in this pregnancy
...... entry:numberPreviousCesareans SI0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy SI0..*Reference(Condition - Infection Present During Pregnancy)Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures SI0..*Reference(Procedure - Obstetric)Obstetric procedures
...... entry:characteristicsLaborDelivery SI0..*Reference(Observation - Characteristic of Labor and Delivery)Characteristics fo labor and delivery
...... entry:fetalPresentation SI0..1Reference(Condition - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery SI0..1Reference(Procedure - Final Route and Method of Delivery)Final route and method of delivery
...... entry:trialLaborAttempted SI0..1Reference(Observation - Labor Trial Attempted)If cesearean, was a trial of labor attempted?
...... entry:maternalMorbidity SI0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:newbornInformation SI0..1BackboneElementNewborn section on the Live Birth Certificate
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptNewborn delivery information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57075-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the newborn section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight SI0..1Reference(Observation - Birth Weight)Birthweight
...... entry:gestationalAgeAtDelivery SI0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:APGARScore SI0..2Reference(Observation - APGAR Score)APGAR Score
...... entry:plurality SI0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
...... entry:abnormalConditionsNewborn SI0..*Reference(Condition - Abnormal Condition of Newborn)Abnormal conditions of the newborn
...... entry:congenitalAnomaliesNewborn SI0..*Reference(Condition - Congenital Anomaly of Newborn)Congenital anomolies of the newborn
...... entry:infantLiving SI0..1Reference(Observation - Infant Living)Is infant living at time of report?
...... entry:infantBreastfedAtDischarge SI0..1Reference(Observation - Infant Breastfed at Discharge)Is infant being breastfed at discharge?
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:motherInformation SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptMother's administrative information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92014-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Patient - Mother)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:education I0..*Reference(Observation - Parent Education Level)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:fatherInformation SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptFather's administrative information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92013-2
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(RelatedPerson - Father Natural)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:education SI0..1Reference(Observation - Parent Education Level)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Composition.statusrequiredCompositionStatus
Composition.typepreferredPattern: LOINC code 68998-4
Composition.categoryexampleDocumentClassValueSet
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredCompositionAttestationMode
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexamplev3.ActCode
Composition.section.codeexampleDocumentSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons
Composition.section:motherPrenatal.codeexamplePattern: LOINC code 57073-9
Composition.section:motherPrenatal.moderequiredListMode
Composition.section:motherPrenatal.orderedBypreferredListOrderCodes
Composition.section:motherPrenatal.emptyReasonpreferredListEmptyReasons
Composition.section:medicalHealthInformation.codeexamplePattern: LOINC code 55752-0
Composition.section:medicalHealthInformation.moderequiredListMode
Composition.section:medicalHealthInformation.orderedBypreferredListOrderCodes
Composition.section:medicalHealthInformation.emptyReasonpreferredListEmptyReasons
Composition.section:newbornInformation.codeexamplePattern: LOINC code 57075-4
Composition.section:newbornInformation.moderequiredListMode
Composition.section:newbornInformation.orderedBypreferredListOrderCodes
Composition.section:newbornInformation.emptyReasonpreferredListEmptyReasons
Composition.section:motherInformation.codeexamplePattern: LOINC code 92014-0
Composition.section:motherInformation.moderequiredListMode
Composition.section:motherInformation.orderedBypreferredListOrderCodes
Composition.section:motherInformation.emptyReasonpreferredListEmptyReasons
Composition.section:fatherInformation.codeexamplePattern: LOINC code 92013-2
Composition.section:fatherInformation.moderequiredListMode
Composition.section:fatherInformation.orderedBypreferredListOrderCodes
Composition.section:fatherInformation.emptyReasonpreferredListEmptyReasons

Constraints

IdPathDetailsRequirements
dom-2CompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3CompositionIf 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-4CompositionIf 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-5CompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6CompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1Composition.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:sliceBirthCertificateIdAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:sliceBirthCertificateIdMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:sliceBirthCertificateFileNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:sliceBirthCertificateFileNumberMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.confidentialityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.timeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.partyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.custodianAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesTo.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.relatesTo.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.relatesTo.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.relatesTo.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.relatesTo.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesTo.target[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.eventAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.event.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.event.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.event.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.event.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:motherPrenatalA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:motherPrenatalA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:motherPrenatalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:motherPrenatal.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:motherPrenatal.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:motherPrenatal.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:motherPrenatal.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:plannedToDeliverAtHomeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:firstPrenatalCareVisitAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:numberPrenatalCareVisitsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:dateLastNormalMensesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:numberNowLivingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:numberNowDeadAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:dateLastLiveBirthAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:numberOtherOutcomesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:dateLastOtherOutcomeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:principalSourceOfPaymentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:mothersWeightAtDeliveryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:mothersHeightAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:mothersPrepregnancyWeightAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:motherReceivedWICFoodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:cigaretteSmokingBeforeDuringPregnancyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:medicalHealthInformationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:medicalHealthInformationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:medicalHealthInformationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:medicalHealthInformation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:medicalHealthInformation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:medicalHealthInformation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:medicalHealthInformation.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:pregnancyRiskFactorsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:numberPreviousCesareansAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:infectionsDuringPregnancyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:obstetricProceduresAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:characteristicsLaborDeliveryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:fetalPresentationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:finalRouteMethodDeliveryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:trialLaborAttemptedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:maternalMorbidityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:newbornInformationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:newbornInformationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:newbornInformationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:newbornInformation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:newbornInformation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:newbornInformation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:newbornInformation.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.entry:birthWeightAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.entry:gestationalAgeAtDeliveryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.entry:APGARScoreAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.entry:pluralityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.entry:abnormalConditionsNewbornAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.entry:congenitalAnomaliesNewbornAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.entry:infantLivingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.entry:infantBreastfedAtDischargeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:newbornInformation.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:motherInformationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:motherInformationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:motherInformationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:motherInformation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:motherInformation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:motherInformation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:motherInformation.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.entry:educationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherInformation.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:fatherInformationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:fatherInformationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:fatherInformationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:fatherInformation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:fatherInformation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:fatherInformation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:fatherInformation.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.entry:educationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fatherInformation.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())