Vital Records Birth and Fetal Death Reporting
1.0.0 - STU 1

This page is part of the Vital Records Birth and Fetal Death Reporting (v1.0.0: STU 1 on FHIR R4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Composition - Provider Fetal Death Report

Defining URL:http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-fetal-death-report
Version:1.0.0
Name:CompositionProviderFetalDeathReport
Title:Composition - Provider Fetal Death Report
Status:Active as of 2021-10-22T14:57:04+00:00
Definition:

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.

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-fetal-death-report

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 data requirements for provider supplied fetal death information are based on the

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.

See Patient Worksheet Questionnaires for information about including a QuestionnaireResponse in this Composition.

Formal Views of Profile Content

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

This structure is derived from Composition

Summary

Mandatory: 5 elements (14 nested mandatory elements)
Must-Support: 52 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 pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.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
... Slices for extension S1..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-fetal-death-report-number S1..1IdentifierState File Number
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
... Extension-fetal-death-local-file-number S0..1IdentifierLocal File No.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
... status S1..1codeIn the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
... type S1..1CodeableConceptU.S. standard report of fetal death - 2003 revision
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: 69045-3
... subject S1..1Reference(Patient - Decedent Fetus)The subject of the composition is the decedent fetus
... encounter S0..1Reference(Encounter - Maternity)The Encounter for the Composition is the mother's maternity encounter.
... author S1..1Reference(Practitioner - VitalRecords)The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... Slices for section S1..*BackboneElementThe Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
.... section:motherPrenatal S0..1BackboneElementMother (prenatal) section on the Fetal Death Report
..... code S1..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 S1..1Reference(Patient - Mother)The focus of this section is the mother
..... Slices for entry S1..*Reference(Resource)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome S0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
...... entry:firstPrenatalCareVisit S0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:dateLastNormalMenses S0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving S0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead S0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth S0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:mothersHeight S0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight S0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood S0..1Reference(Observation - Mother Recieved WIC Food)Use of the WIC nutritional program by the mother
...... entry:cigaretteSmokingBeforeDuringPregnancy S0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation S0..1BackboneElementMedical and Health Information section on the Fetal Death Report
..... code S1..1CodeableConceptClinical information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
..... focus S1..1Reference(Patient - Mother)The focus of this section is the mother
..... Slices for entry S1..*Reference(Resource)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$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:fetalPresentation S0..1Reference(Observation - 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:maternalMorbidity S0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
.... section:fetus S0..1BackboneElementfetus section on the Fetal Death Report
..... code S1..1CodeableConceptFetal delivery information Document [US Standard Report of Fetal Death]
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: 76400-1
..... Slices for entry S1..*Reference(Resource)Entries that are contained in the fetus section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deliveryWeight S0..1Reference(Observation - Birth Weight)Delivery weight
...... entry:gestationalAgeAtDelivery S0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:causeOfFetalDeath S0..1Reference(Condition - Fetal Death Cause or Condition)Initiating cause or condition of fetal death
...... entry:otherCauseOfDeath S0..*Reference(Condition - Fetal Death Other Cause or Condition)Another significant cause or condition for the death of the fetus.
...... entry:estimatedTimeFetalDeath S1..1Reference(Observation - Fetal Death Time Point)The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
...... entry:autopsyPerformed S0..1Reference(Observation - Autopsy Performed)An indication if an autopsy has been performed on the subject.
...... entry:histologicalExamPerformed S0..1Reference(Observation - Histological Placental Exam Performed)Whether or not a histological placental examination was performed.
...... entry:autopsyOrHistologicalExamUsed S0..1Reference(Observation - Autopsy or Histological Exam Results Used)Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
...... entry:plurality S0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
...... entry:numberLiveBirthsThisDelivery S0..1Reference(Observation - Number of Live Births This Delivery)Number of live births this delivery
...... entry:numberFetalDeathsThisDelivery S0..1Reference(Observation - Number of Fetal Deaths This Delivery)Number of fetal deaths this delivery
.... section:motherInformation S0..1BackboneElementMother administrative section on the Fetal Death Report
..... code S1..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 S1..1Reference(Patient - Mother)The focus of this section is the mother
..... Slices for entry S1..*Reference(Resource)Entries that are contained in the motherInformation section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:mothersEducation S0..1Reference(Observation - Parent Education Level)Mother's education
.... section:mothersQuestionnaireResponse 0..1BackboneElementOptional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
..... code 1..1CodeableConceptQuestionnaire response Document
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: 74465-6
..... entry 1..1Reference(QuestionnaireResponse)QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate

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
... Slices for extension S1..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-fetal-death-report-number S1..1IdentifierState File Number
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
... Extension-fetal-death-local-file-number S0..1IdentifierLocal File No.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
... Extension-date-received-by-registrar S1..1dateTimeExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣ1..1codeIn the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptU.S. standard report of fetal death - 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: 69045-3
..... 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 SΣ1..1Reference(Patient - Decedent Fetus)The subject of the composition is the decedent fetus
... encounter SΣ0..1Reference(Encounter - Maternity)The Encounter for the Composition is the mother's maternity encounter.
... date Σ1..1dateTimeComposition editing time
... author SΣ1..1Reference(Practitioner - VitalRecords)The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... 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
... Slices for section SI1..*BackboneElementThe Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern: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 Fetal Death Report
..... 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 S1..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 S1..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.

..... Slices for entry SI1..*Reference(Resource)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: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: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 Information section on the Fetal Death Report
..... 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 S1..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 S1..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.

..... Slices for entry SI1..*Reference(Resource)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:fetalPresentation SI0..1Reference(Observation - 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: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:fetus SI0..1BackboneElementfetus section on the Fetal Death Report
..... 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 S1..1CodeableConceptFetal delivery information Document [US Standard Report of Fetal Death]
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... 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: 76400-1
....... 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.

..... Slices for entry SI1..*Reference(Resource)Entries that are contained in the fetus section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deliveryWeight SI0..1Reference(Observation - Birth Weight)Delivery weight
...... entry:gestationalAgeAtDelivery SI0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:causeOfFetalDeath SI0..1Reference(Condition - Fetal Death Cause or Condition)Initiating cause or condition of fetal death
...... entry:otherCauseOfDeath SI0..*Reference(Condition - Fetal Death Other Cause or Condition)Another significant cause or condition for the death of the fetus.
...... entry:estimatedTimeFetalDeath SI1..1Reference(Observation - Fetal Death Time Point)The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
...... entry:autopsyPerformed SI0..1Reference(Observation - Autopsy Performed)An indication if an autopsy has been performed on the subject.
...... entry:histologicalExamPerformed SI0..1Reference(Observation - Histological Placental Exam Performed)Whether or not a histological placental examination was performed.
...... entry:autopsyOrHistologicalExamUsed SI0..1Reference(Observation - Autopsy or Histological Exam Results Used)Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
...... entry:plurality SI0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
...... entry:numberLiveBirthsThisDelivery SI0..1Reference(Observation - Number of Live Births This Delivery)Number of live births this delivery
...... entry:numberFetalDeathsThisDelivery SI0..1Reference(Observation - Number of Fetal Deaths This Delivery)Number of fetal deaths this 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:motherInformation SI0..1BackboneElementMother administrative section on the Fetal Death Report
..... 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 S1..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 S1..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.

..... Slices for entry SI1..*Reference(Resource)Entries that are contained in the motherInformation section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:mothersEducation SI0..1Reference(Observation - Parent Education Level)Mother's education
..... 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:mothersQuestionnaireResponse I0..1BackboneElementOptional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's 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 1..1CodeableConceptQuestionnaire response Document
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: 74465-6
....... 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 I1..1Reference(QuestionnaireResponse)QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
..... 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
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-fetal-death-report-number 1..1IdentifierState File Number
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
... Extension-fetal-death-local-file-number 0..1IdentifierLocal File No.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
... status ?!Σ1..1codeIn the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptU.S. standard report of fetal death - 2003 revision
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


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: 69045-3
... subject Σ1..1Reference(Patient - Decedent Fetus)The subject of the composition is the decedent fetus
... encounter Σ0..1Reference(Encounter - Maternity)The Encounter for the Composition is the mother's maternity encounter.
... author Σ1..1Reference(Practitioner - VitalRecords)The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... Slices for section I1..*BackboneElementThe Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
.... section:motherPrenatal I0..1BackboneElementMother (prenatal) section on the Fetal Death Report
..... code 1..1CodeableConceptPrenatal records
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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 1..1Reference(Patient - Mother)The focus of this section is the mother
..... Slices for entry I1..*Reference(Resource)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... 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: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: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 Information section on the Fetal Death Report
..... code 1..1CodeableConceptClinical information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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 1..1Reference(Patient - Mother)The focus of this section is the mother
..... Slices for entry I1..*Reference(Resource)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$this.resolve()
...... 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:fetalPresentation I0..1Reference(Observation - 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:maternalMorbidity I0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
.... section:fetus I0..1BackboneElementfetus section on the Fetal Death Report
..... code 1..1CodeableConceptFetal delivery information Document [US Standard Report of Fetal Death]
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... 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: 76400-1
..... Slices for entry I1..*Reference(Resource)Entries that are contained in the fetus section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deliveryWeight I0..1Reference(Observation - Birth Weight)Delivery weight
...... entry:gestationalAgeAtDelivery I0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:causeOfFetalDeath I0..1Reference(Condition - Fetal Death Cause or Condition)Initiating cause or condition of fetal death
...... entry:otherCauseOfDeath I0..*Reference(Condition - Fetal Death Other Cause or Condition)Another significant cause or condition for the death of the fetus.
...... entry:estimatedTimeFetalDeath I1..1Reference(Observation - Fetal Death Time Point)The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
...... entry:autopsyPerformed I0..1Reference(Observation - Autopsy Performed)An indication if an autopsy has been performed on the subject.
...... entry:histologicalExamPerformed I0..1Reference(Observation - Histological Placental Exam Performed)Whether or not a histological placental examination was performed.
...... entry:autopsyOrHistologicalExamUsed I0..1Reference(Observation - Autopsy or Histological Exam Results Used)Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
...... entry:plurality I0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
...... entry:numberLiveBirthsThisDelivery I0..1Reference(Observation - Number of Live Births This Delivery)Number of live births this delivery
...... entry:numberFetalDeathsThisDelivery I0..1Reference(Observation - Number of Fetal Deaths This Delivery)Number of fetal deaths this delivery
.... section:motherInformation I0..1BackboneElementMother administrative section on the Fetal Death Report
..... code 1..1CodeableConceptMother's administrative information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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 1..1Reference(Patient - Mother)The focus of this section is the mother
..... Slices for entry I1..*Reference(Resource)Entries that are contained in the motherInformation section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:mothersEducation I0..1Reference(Observation - Parent Education Level)Mother's education

doco Documentation for this format

This structure is derived from Composition

Summary

Mandatory: 5 elements (14 nested mandatory elements)
Must-Support: 52 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 pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.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
... Slices for extension S1..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-fetal-death-report-number S1..1IdentifierState File Number
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
... Extension-fetal-death-local-file-number S0..1IdentifierLocal File No.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
... status S1..1codeIn the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
... type S1..1CodeableConceptU.S. standard report of fetal death - 2003 revision
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: 69045-3
... subject S1..1Reference(Patient - Decedent Fetus)The subject of the composition is the decedent fetus
... encounter S0..1Reference(Encounter - Maternity)The Encounter for the Composition is the mother's maternity encounter.
... author S1..1Reference(Practitioner - VitalRecords)The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... Slices for section S1..*BackboneElementThe Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
.... section:motherPrenatal S0..1BackboneElementMother (prenatal) section on the Fetal Death Report
..... code S1..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 S1..1Reference(Patient - Mother)The focus of this section is the mother
..... Slices for entry S1..*Reference(Resource)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome S0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
...... entry:firstPrenatalCareVisit S0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:dateLastNormalMenses S0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving S0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead S0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth S0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
...... entry:mothersHeight S0..1Reference(Observation - Mother Height)Mother's height
...... entry:mothersPrepregnancyWeight S0..1Reference(Observation - Mother Prepregnancy Weight)Mother's prepregnancy weight
...... entry:motherReceivedWICFood S0..1Reference(Observation - Mother Recieved WIC Food)Use of the WIC nutritional program by the mother
...... entry:cigaretteSmokingBeforeDuringPregnancy S0..4Reference(Observation - Cigarette Smoking Before and During Pregnancy)Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation S0..1BackboneElementMedical and Health Information section on the Fetal Death Report
..... code S1..1CodeableConceptClinical information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
..... focus S1..1Reference(Patient - Mother)The focus of this section is the mother
..... Slices for entry S1..*Reference(Resource)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$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:fetalPresentation S0..1Reference(Observation - 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:maternalMorbidity S0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
.... section:fetus S0..1BackboneElementfetus section on the Fetal Death Report
..... code S1..1CodeableConceptFetal delivery information Document [US Standard Report of Fetal Death]
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: 76400-1
..... Slices for entry S1..*Reference(Resource)Entries that are contained in the fetus section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deliveryWeight S0..1Reference(Observation - Birth Weight)Delivery weight
...... entry:gestationalAgeAtDelivery S0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:causeOfFetalDeath S0..1Reference(Condition - Fetal Death Cause or Condition)Initiating cause or condition of fetal death
...... entry:otherCauseOfDeath S0..*Reference(Condition - Fetal Death Other Cause or Condition)Another significant cause or condition for the death of the fetus.
...... entry:estimatedTimeFetalDeath S1..1Reference(Observation - Fetal Death Time Point)The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
...... entry:autopsyPerformed S0..1Reference(Observation - Autopsy Performed)An indication if an autopsy has been performed on the subject.
...... entry:histologicalExamPerformed S0..1Reference(Observation - Histological Placental Exam Performed)Whether or not a histological placental examination was performed.
...... entry:autopsyOrHistologicalExamUsed S0..1Reference(Observation - Autopsy or Histological Exam Results Used)Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
...... entry:plurality S0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
...... entry:numberLiveBirthsThisDelivery S0..1Reference(Observation - Number of Live Births This Delivery)Number of live births this delivery
...... entry:numberFetalDeathsThisDelivery S0..1Reference(Observation - Number of Fetal Deaths This Delivery)Number of fetal deaths this delivery
.... section:motherInformation S0..1BackboneElementMother administrative section on the Fetal Death Report
..... code S1..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 S1..1Reference(Patient - Mother)The focus of this section is the mother
..... Slices for entry S1..*Reference(Resource)Entries that are contained in the motherInformation section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:mothersEducation S0..1Reference(Observation - Parent Education Level)Mother's education
.... section:mothersQuestionnaireResponse 0..1BackboneElementOptional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
..... code 1..1CodeableConceptQuestionnaire response Document
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: 74465-6
..... entry 1..1Reference(QuestionnaireResponse)QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate

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
... Slices for extension S1..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-fetal-death-report-number S1..1IdentifierState File Number
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
... Extension-fetal-death-local-file-number S0..1IdentifierLocal File No.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
... Extension-date-received-by-registrar S1..1dateTimeExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣ1..1codeIn the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptU.S. standard report of fetal death - 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: 69045-3
..... 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 SΣ1..1Reference(Patient - Decedent Fetus)The subject of the composition is the decedent fetus
... encounter SΣ0..1Reference(Encounter - Maternity)The Encounter for the Composition is the mother's maternity encounter.
... date Σ1..1dateTimeComposition editing time
... author SΣ1..1Reference(Practitioner - VitalRecords)The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... 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
... Slices for section SI1..*BackboneElementThe Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern: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 Fetal Death Report
..... 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 S1..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 S1..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.

..... Slices for entry SI1..*Reference(Resource)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: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: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 Information section on the Fetal Death Report
..... 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 S1..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 S1..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.

..... Slices for entry SI1..*Reference(Resource)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:fetalPresentation SI0..1Reference(Observation - 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: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:fetus SI0..1BackboneElementfetus section on the Fetal Death Report
..... 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 S1..1CodeableConceptFetal delivery information Document [US Standard Report of Fetal Death]
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... 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: 76400-1
....... 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.

..... Slices for entry SI1..*Reference(Resource)Entries that are contained in the fetus section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deliveryWeight SI0..1Reference(Observation - Birth Weight)Delivery weight
...... entry:gestationalAgeAtDelivery SI0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:causeOfFetalDeath SI0..1Reference(Condition - Fetal Death Cause or Condition)Initiating cause or condition of fetal death
...... entry:otherCauseOfDeath SI0..*Reference(Condition - Fetal Death Other Cause or Condition)Another significant cause or condition for the death of the fetus.
...... entry:estimatedTimeFetalDeath SI1..1Reference(Observation - Fetal Death Time Point)The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
...... entry:autopsyPerformed SI0..1Reference(Observation - Autopsy Performed)An indication if an autopsy has been performed on the subject.
...... entry:histologicalExamPerformed SI0..1Reference(Observation - Histological Placental Exam Performed)Whether or not a histological placental examination was performed.
...... entry:autopsyOrHistologicalExamUsed SI0..1Reference(Observation - Autopsy or Histological Exam Results Used)Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
...... entry:plurality SI0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
...... entry:numberLiveBirthsThisDelivery SI0..1Reference(Observation - Number of Live Births This Delivery)Number of live births this delivery
...... entry:numberFetalDeathsThisDelivery SI0..1Reference(Observation - Number of Fetal Deaths This Delivery)Number of fetal deaths this 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:motherInformation SI0..1BackboneElementMother administrative section on the Fetal Death Report
..... 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 S1..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 S1..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.

..... Slices for entry SI1..*Reference(Resource)Entries that are contained in the motherInformation section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:mothersEducation SI0..1Reference(Observation - Parent Education Level)Mother's education
..... 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:mothersQuestionnaireResponse I0..1BackboneElementOptional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's 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 1..1CodeableConceptQuestionnaire response Document
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: 74465-6
....... 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 I1..1Reference(QuestionnaireResponse)QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
..... 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: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Composition.statusrequiredCompositionStatus
Composition.typepreferredPattern: LOINC code 69045-3
Composition.categoryexampleDocumentClassValueSet
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredCompositionAttestationMode
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexampleActCode
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:fetus.codeexamplePattern: LOINC code 76400-1
Composition.section:fetus.moderequiredListMode
Composition.section:fetus.orderedBypreferredListOrderCodes
Composition.section:fetus.emptyReasonpreferredListEmptyReasons
Composition.section:motherInformation.codeexamplePattern: LOINC code 92014-0
Composition.section:motherInformation.moderequiredListMode
Composition.section:motherInformation.orderedBypreferredListOrderCodes
Composition.section:motherInformation.emptyReasonpreferredListEmptyReasons
Composition.section:mothersQuestionnaireResponse.codeexamplePattern: LOINC code 74465-6
Composition.section:mothersQuestionnaireResponse.moderequiredListMode
Composition.section:mothersQuestionnaireResponse.orderedBypreferredListOrderCodes
Composition.section:mothersQuestionnaireResponse.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:fetalDeathReportNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:fetalDeathReportNumberMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:fetalDeathLocalFileNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:fetalDeathLocalFileNumberMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:dateReceivedByRegistrarAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:dateReceivedByRegistrarMust 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: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: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: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: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:fetusA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:fetusA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:fetusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:fetus.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:fetus.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:fetus.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:fetus.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:deliveryWeightAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:gestationalAgeAtDeliveryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:causeOfFetalDeathAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:otherCauseOfDeathAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:estimatedTimeFetalDeathAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:autopsyPerformedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:histologicalExamPerformedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:autopsyOrHistologicalExamUsedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:pluralityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:numberLiveBirthsThisDeliveryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:numberFetalDeathsThisDeliveryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.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:mothersEducationAll 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:mothersQuestionnaireResponseA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:mothersQuestionnaireResponseA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:mothersQuestionnaireResponseAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:mothersQuestionnaireResponse.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:mothersQuestionnaireResponse.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:mothersQuestionnaireResponse.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:mothersQuestionnaireResponse.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:mothersQuestionnaireResponse.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:mothersQuestionnaireResponse.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:mothersQuestionnaireResponse.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:mothersQuestionnaireResponse.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:mothersQuestionnaireResponse.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:mothersQuestionnaireResponse.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:mothersQuestionnaireResponse.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:mothersQuestionnaireResponse.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:mothersQuestionnaireResponse.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:mothersQuestionnaireResponse.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())