This Composition profile defines constraints to address the use case in which information for labor and delivery and the condition of the newborn collected by healthcare provider staff, as primarily defined using the Facility Worksheet, is managed independently for communication to the jurisdictional 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.

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.

This Composition profile defines constraints to address the use case in which information collected from the mother, as primarily defined using the Mother’s Worksheet, is managed independently for communication to the jurisdictional Vital Records Office. The data requirements for live birth mother’s information are based on the Mother’s Worksheet for Child’s Birth Certificate. The jurisdiction may have additional data requirements and edit specifications that will be addressed at the jurisdictional level.

This Composition profile defines constraints to address the use case in which information for labor and delivery and relevant information for the fetus collected by healthcare provider staff, as primarily defined using the Facility Worksheet, is managed independently for communication to the jurisdictional Vital Records Office.

This Composition profile contains constraints to address the use case describing the need for fetal death information to be recorded and communicated to the jurisdictional Vital Records Office.

For the most part, labor and delivery takes place at a healthcare provider site. When the delivery takes place at home, or on the way to the hospital, the mother and fetus will be 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 fetus is collected from the responsible party at the healthcare facility. The information from these two sources may be communicated to the jurisdictional Vital Records Office at the same time (using this document) or separately (using the Provider Supplied Mother’s Fetal Death Reporting Document and the Provider Supplied Facility Fetal Death Reporting Document).

The data requirements for provider supplied fetal death information are based on the U.S. Standard Report of Fetal Death, the 2004 US Standard Facility Worksheet for the Report of Fetal Death, and the 2004 US Standard Patient’s Worksheet for the Report of Fetal Death. The jurisdiction may have additional data requirements and edit specifications that will be addressed at the jurisdictional level.

The 1992 Revision of the Model State Vital Statistics Act and Regulations recommends the following definition of fetal death: > “Fetal death” means death prior to the complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of pregnancy and which is not an induced termination of pregnancy. The death is indicated by the fact that after such expulsion or extraction, the fetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles. Heartbeats are to be distinguished from transient cardiac contractions; respirations are to be distinguished from fleeting respiratory efforts or gasps.

This Composition profile defines constraints to address the use case in which information collected from the mother, as primarily defined using the Patient’s Worksheet, is managed independently for communication to the jurisdictional Vital Records Office. The data requirements for fetal death mother’s information are based on the 2004 US Standard Patient’s Worksheet for the Report of Fetal Death. The jurisdiction may have additional data requirements and edit specifications that will be addressed at the jurisdictional level.

This Composition profile contains information of a live birth and the issuance of a Birth Certificate to be recorded and communicated to NCHS. The data requirements for jurisdictional reporting of live births are based on the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth.

This Composition profile contains information of a fetal death and the creation of a jurisdictional file to be recorded and communicated to NCHS.

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

This profile communicates coded cause of fetal death information to appropriate jurisdictional Vital Records Offices. Cause of death on a fetal death report comes from the provider as choices from a defined list of possible causes along with free text entries that further specify those choices. The information is transformed into one or more ICD 10 codes at NCHS, and returned using this profile.

This profile communicates coded race and ethnicity information to the appropriate jurisdictional Vital Records Office. It contains data that are a coded form of the race and ethnicity data that has been submitted to the NCHS. Two sets of codes will be used to address two objectives. These objectives are:

• to generate codes for race or ethnicity data provided as text entries
• to generate a single race code in cases where multiple races have been reported

In addition, when the coding process has led to duplication of data, the duplicates will be eliminated.

Coded race and ethnicity data is communicated for both the mother and father in the case of live birth and only for the mother in the case of fetal death.

This profile communicates void fetal death reports from appropriate jurisdictional vital statistics agencies to the NCHS. In many jurisdictions, fetal death report identifiers (report number) are directly linked to the printed certificate. As a result, in some cases it becomes relevant to indicate that a particular certificate number is not to be used, that the certificate is to be ‘voided’.

This profile communicates void live birth certificates from appropriate jurisdictional vital statistics agencies to the national statistical agency. In many jurisdictions, birth certificate identifiers (certificate number) are directly linked to the printed certificate. As a result, in some cases it becomes relevant to indicate that a particular certificate number is not to be used, that the certificate is to be ‘voided’.

This Encounter profile represents the child’s birth encounter. This Encounter can reference the mother’s maternity encounter using the partOf data element.

This Encounter profile represents the mother’s maternity encounter. After the child is born, an Encounter record will be created for the child (Encounter-Birth) and will reference this encounter using the partOf property.

This Condition profile represents information about one or more disorders or significant morbidities experienced by the newborn.

This Condition profile represents information on whether the infant suffered from one or more of a list of known malformations diagnosed prenatally or after delivery.

This profile represents whether or not the infant was being breastfed at discharge.

This Coverage profile represents the principal payer for this delivery.

This profile represents the average number of cigarettes smoked per day for each time period indicated by the value selected for code:

• Number of Cigarettes Smoked in 3 months prior to Pregnancy
• Number of Cigarettes Smoked in 1st 3 months
• Number of Cigarettes Smoked in 2nd 3 months
• Number of Cigarettes Smoked in third or last trimester

Where number of packs per day are provided, calculate number of cigarettes per day (a pack has 20 cigarettes) and record that number.

This profile represents the date of the first prenatal care visit for this pregnancy. A prenatal visit is where a physician or other health care professional examined and/or counseled the pregnant woman for the pregnancy. If this profile is not present it indicates that the mother did not receive prenatal care at any time during the pregnancy.

This profile represents the date of the mother’s last live born infant (do not include this birth).

This profile represents the date of the mother’s last other pregnancy outcome (includes pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies) (do not include this birth).

This profile represents whether or not the mother made use of the Women, Infants and Children (WIC) nutritional program during the pregnancy.

This Observation profile represents whether or not a home birth was planned for the infant.

This Condition profile represents the fetal presentation (orientation within the mother’s womb) of a fetus prior to delivery/birth.

This Condition profile represents infections present and/or treated during the pregnancy. This includes infections present at the start of pregnancy or confirmed diagnosis during pregnancy with or without documentation of treatment. Documentation of treatment during this pregnancy is adequate if a definitive diagnosis is not present in the available record.

This Condition profile represents whether the mother suffered from one or more of a list of recognized maternal morbidities during the labor and delivery process.

This Observation profile represents any of a set of defined characteristics of labor and delivery.

This Observation profile represents whether, in the case of a cesarean delivery, a trial of labor was attempted.

This profile represents the final route and method of delivery.

This profile represents information about a particular medical treatment or invasive/manipulative procedure that was performed during this pregnancy specifically in the treatment of the pregnancy, management of labor and/or delivery.

This profile represents the coded initiating cause/condition of fetal death.

This profile represents a coded other significant cause/condition of fetal death.

This Condition profile contains information provided by the clinician to indicate the cause or causes of the fetal death. The type of cause or condition should be selected from the value set Fetal Death Cause or Condition and any further specification should be entered as free text to fully record the provider’s view of the cause. One or more optional contained Other Significant Cause/Condition of Fetal Death profiles represent another significant cause or condition for the death of the fetus.

This Condition profile represents another significant cause or condition for the death of the fetus. The type of cause or condition should be selected from the value set Fetal Death Cause or Condition and any further specification should be entered as free text to fully record the provider’s view of the cause.

This profile represents whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.

This profile represents whether or not a histological placental examination was performed.

This Observation profile represents the method of disposition of the deceased fetus.

This profile represents whether or not the mother was married at conception, at the time of birth, or at any time between conception and giving birth.

This Observation represents whether or not a paternity acknowledgement was signed by the father if the mother was not married at conception, at the time of birth, or at any time between conception and giving birth.

This Observation profile represents whether or not a social security number has been requested for the child. If a social security number was requested, set valueBoolean=true and enter the time requested in the effectiveDateTime data element.

This profile indicates whether the original birthweight data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original estimate of gestation data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original father’s date of birth data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original father’s education data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original mother’s date of birth data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original mother’s delivery weight data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original mother’s education data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original mother’s height data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original mother’s prepregnancy weight data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original number of previous cesareans data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original number of prenatal care visits data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

This profile indicates whether the original plurality data provided passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on the item specific edit criteria specified in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.

Birth certificate file number

Birth certificate id

Date filed by registrar

Date received by registrar

Fetal death report file number

Fetal death report id

This profile represents a single race code assigned to the person.

This profile records a code representing the ethnic affiliation information for the mother or father. The observation will convey, as coded data, information that is provided in text form.

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

Example of a Document Bundle containing composition-jurisdiction-live-birth profile (Baby G Quinn)

Example of a Document Bundle containing composition-provider-facility-live-birth profile (Baby G Quinn)

Example of composition-jurisdiction-live-birth profile (Baby G Quinn)

Example of composition-provider-facility-live-birth profile (Baby G Quinn)

Example of Composition-provider-live-birth-report (Baby G Quinn)

Example of Composition-provider-mothers-live-birth-report profile (Baby G Quinn)

Example of us-core-location profile (East Hospital)

Example of us-core-location profile (North Hospital)

Example of US Core Location (South Hospital)

Example of Patient-child profile (Baby G Quinn)

Example of Patient-mother profile (Eve Everywoman)

Example of practitioner-live-birth-fetal-death profile (Avery Jones, MD)

Example of RelatedPerson-father-natural profile (James Brandon Quinn)

Example of RelatedPerson-mother profile (Jada Ann Quinn)

Example of Encounter-maternity profile (Jada Ann Quinn)

Example of Encounter-birth profile (Baby G Quinn)

Example of Condition-abnormal-condition-of-newborn (Baby G Quinn)

Example of Condition-congenital-anomaly-of-newborn profile (Baby G Quinn): Anomaly of chromosome pair 21 (disorder) with Karyotype determination pending

Example of Condition-congenital-anomaly-of-newborn profile (Babyg Quinn)

Example of condition-fetal-presentation (Baby G Quinn)

Example of Condition-infection-present-during-pregnancy profile (Jada Ann Quinn

Example of Condition-maternal-morbidity (Jada Ann Quinn)

Example of coverage-principal-payer-for-delivery profile (Jada Ann Quinn)

Example of Observation-mother-married-during-pregnancy (Jada Ann Quinn)

Example of observation-paternity-acknowledgement-signed profile (James Quinn)

Example of Observation-apgar-score profile (Babyg Quinn: 1 min)

Example of Observation-apgar-score profile (Babyg Quinn: 5 min)

Example of observation-birth-weight profile (Baby G Quinn)

Example of Observation-characteristic-of-labor-and-delivery profile (Baby G Quinn: Antibiotics received during labor)

Example of Observation-characteristic-of-labor-and-delivery profile (Baby G Quinn: Chorioamnionitis)

Example of Observation-characteristic-of-labor-and-delivery profile (Baby G Quinn: Epidural or spinal anesthesia)

Example of Observation-characteristic-of-labor-and-delivery profile (Baby G Quinn: Induction of labor)

Example of Observation-cigarette-smoking-before-during-pregnancy profile (3 months prior: Jada Ann Quinn)

Example of Observation-cigarette-smoking-before-during-pregnancy profile (first 3 months: Jada Ann Quinn)

Example of Observation-cigarette-smoking-before-during-pregnancy profile (last 3 months: Jada Ann Quinn)

Example of Observation-cigarette-smoking-before-during-pregnancy profile (second 3 months: Jada Ann Quinn)

Example of Observation-date-of-first-prenatal-care-visit (Jada Ann Quinn)

Example of observation-date-of-last-live-birth profile (Jada Ann Quinn)

Example of Observation-date-of-last-other-pregnancy-outcome (Jada Ann Quinn)

Example of profile (Baby G Quinn)

Example of Observation-infant-breastfed-at-discharge profile (Baby G Quinn)

Example of observation-infant-living profile (Baby G Quinn)

Example of Observation-labor-trial-attempted profile (Baby G Quinn)

Example of Observation-last-menstrual-period profile (Jada Ann Quinn)

Example of observation-mother-delivery-weight profile (Jada Ann Quinn)

Example of observation-mother-height profile (Jada Ann Quinn)

Example of observation-mother-prepregnancy-weight profile (Jada Ann Quinn)

Example of Observation-mother-received-wic-food profile (Jada Ann Quinn)

Example of Observation-number-births-now-dead (Jada Ann Quinn)

Example of observation-number-births-now-living-jada-ann-quinn profile (Jada Ann Quinn)

Example of observation-number-live-births-this-delivery profile (Jada Ann Quinn)

Example of Observation-number-other-pregnancy-outcomes profile (Jada Ann Quinn)

Example of Observation-number-prenatal-visits profile (BabyG Quinn/Jada Ann Quinn)

Example of Observation-number-previous-cesareans (Jada Ann Quinn)

Example of observation-parent-education-level profile (Jada Ann Quinn)

Example of observation-parent-education-level profile (James Quinn)

Example of Observation - Planned to Deliver at Home profile (Baby G Quinn)

Example of observation-plurality profile (Jada Ann Quinn)

Example of Observation-pregnancy-risk-factor (Jada Ann Quinn: Deliveries by Cesarean)

Example of Observation-pregnancy-risk-factor (Jada Ann Quinn: Assisted fertilization)

Example of Observation-pregnancy-risk-factor (Jada Ann Quinn: Deliveries by Cesarean)

Example of Observation-pregnancy-risk-factor (Jada Ann Quinn: Fertility enhancing drug therapy)

Example of observation-ssn-requested-for-child profile (Baby G Quinn)

Example of us-core-organization profile (South Hospital)

Example of procedure-final-route-method-delivery (Baby G Quinn)

Example of Procedure-obstetric profile (Jada Ann Quinn)

Example of /Composition-void-live-birth-certificate profile

Example of a Document Bundle containing composition-jurisdiction-fetal-death profile (Fetus Not Named)

Example of a Document Bundle containing composition-provider-facility-fetal-death profile (Fetus Not Named)

Example of composition-jurisdiction-fetal-death profile (Fetus Not Named)

Example of composition-provider-facility-fetal-death (Fetus Not Named)

Example of Composition-provider-fetal-death-report profile (Not Named)

Example of Composition-provider-mothers-fetal-death-report (Not Named)

Example of patient-decedent-fetus (Fetus Not Named)

Example of patient-mother profile (Carmen Teresa Lee)

Example of practitioner-live-birth-fetal-death profile (Janet Seito)

Example of Practitioner-live-birth-fetal-death profile (Jessica Leung)

Example of RelatedPerson-father-natural profile (Tom Yan Lee)

Example of Relatedperson-mother profile (Carmen Teresa Lee)

Example of Encounter-maternity profile (Carmen Teresa Lee)

Example of Condition-coded-initiating-fetal-death-cause-or-condition profile.

Example of Condition-coded-other-fetal-death-cause-or-condition profile

Example of Condition-fetal-death-cause-or-condition profile (Fetus Not Named)

Example of Condition-fetal-death-other-cause profile (Fetus Not Named)

Example of condition-fetal-presentation profile (Fetus Not Named)

Example of Cndition-maternal-morbidity profile (Carmen Teresa Lee)

Example of Observation-autopsy-histological-exam-results-used profile (Fetus Not Named)

Example of Observation-autopsy-performed profile (Fetus Not Named)

Example of Observation-birth-weight (Fetus Not Named)

Example of Observation-cigarette-smoking-before-during-pregnancy profile (3 month prior: Carmen Teresa Lee)

Example of Observation-cigarette-smoking-before-during-pregnancy profile (first 3 months: Carmen Teresa Lee)

Example of Observation-cigarette-smoking-before-during-pregnancy profile (last 3 months: Carmen Teresa Lee)

Example of Observation-cigarette-smoking-before-during-pregnancy profile (second 3 months: Carmen Teresa Lee)

Example of Observation-date-of-first-prenatal-care-visit profile (Carmen Teresa Lee)

Example of Observation-date-of-last-live-birth profile (Carmen Teresa Lee)

Example of Observation-gestational-age-at-delivery profile (Fetus Not Named)

Example of Observation-histological-placental-exam-performed profile (Fetus Not Named)

Example of Observation-last-menstrual-period profile (Carmen Teresa Lee)

Example of Observation-method-of-disposition profile (Fetus Not Named)

Example of Observation-mother-height profile (Carmen Teresa Lee)

Example of Observation-mother-prepregnancy-weight profile (Carmen Teresa Lee)

Example of observation-mother-received-wic-food profile (Carmen Teresa Lee)

Example of Observation-number-live-births-this-delivery profile (Carmen Teresa Lee)

Example of Observation-number-births-now-dead profile (Carmen Teresa Lee)

Example of observation-number-births-now-living profile (Carmen Teresa Lee)

Example of Observation-number-fetal-deaths-this-delivery profile (Carmen Teresa Lee)

Example of observation-parent-education-level profile (Carmen Teresa Lee)

Example of observation-planned-to-deliver-at-home profile (Fetus Not Named)

Example of Observation-plurality profile (Carmen Teresa Lee)

Example of Observation-pregnancy-risk-factor profile (Carmen Teresa Lee: Gestational diabetes mellitus)

Example of Observation-pregnancy-risk-factor profile (Carmen Teresa Lee: Hypertensive disorder, systemic arterial)

Example of Observation-number-previous-cesareans profile (Carmen Teresa Lee)

Example of Procedure-final-route-method-delivery profile (Fetus Not Named)

Example of Composition-void-fetal-death-report profile

Example of Observation-edit-flag-birthweight profile

Example of Observation-edit-flag-estimate-of-gestation profile

Example of Observation-edit-flag-fathers-date-of-birth profile

Example of Observation-edit-flag-fathers-education profile

Example of Observation-edit-flag-mothers-date-of-birth profile

Example of Observation-edit-flag-mothers-delivery-weight profile

Example of Observation-edit-flag-mothers-education profile

Example of Observation-edit-flag-mothers-height profile

Example of Observation-edit-flag-mothers-prepregnancy-weight profile

Example of Observation-edit-flag-number-prenatal-care-visits profile

Example of Observation-edit-flag-number-previous-cesareans profile

Example of Observation-edit-flag-plurality example

Example of Tabulated Ethnicity profile (Jada Ann Quinn)

Example of Bridged Race profile (Jada Ann Quinn)

Example of Composition Coded Cause of Fetal Death profile (Not Named)

Example of US Core Organization profile (National Center for Health Statistics (NCHS))

Example of US Core Organization profile (Jurisdictional Vital Records Office)

Example of Coded Race and Ethnicity profile (Not Named)

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

This value set contains codes to determine the number of cigarettes smoked before and during pregnancy.

This code system contains codes that identify the event a message represents.

References US SNOMED CT version.