For the most part, labor and delivery takes place at a healthcare provider site. When a baby is delivered at home, or on the way to the hospital, the mother and baby are typically taken to the hospital for evaluation and possible treatment. Personal and pregnancy information is collected from the mother or an informant, while information regarding labor and delivery and the condition of the newborn is collected from the responsible party at the healthcare facility.

The data requirements for provider supplied live birth information are based on the

• 2003 Revision of the U.S. Standard Certificate of Birth
• 2016 US Standard Facility Worksheet for the Live Birth Certificate
• 2016 US Standard Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births
• 2016 US Standard Mothers Worksheet for Child’s Birth Certificate

The jurisdiction may have additional data requirements and edit specifications that will be addressed at the jurisdictional level.

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

• Text Summary
• Differential Table
• Snapshot Table
• Snapshot Table (Must Support)
• All

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Provider Live Birth Report
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
Extension-live-birth-certificate-number	S	1..1	Identifier	Birth Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
Extension-live-birth-local-file-number	S	0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
Extension-date-filed-by-registrar	S	1..1	dateTime	Date filed by registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
status	S	1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set.
type	S	1..1	CodeableConcept	U.S. standard certificate of live birth - 2003 revision Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 68998-4
subject	S	1..1	Reference(Patient - Child)	The subject of the composition is the newborn baby
encounter	S	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
author	S	1..1	Reference(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	S	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:motherPrenatal	S	0..1	BackboneElement	Mother (prenatal) section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Prenatal records Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57073-9
focus	S	1..1	Reference(Patient - Mother)	The focus of this section is the mother
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	S	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	S	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:numberPrenatalCareVisits	S	0..1	Reference(Observation - Number of Prenatal Visits)	Number of prenatal care visits
entry:dateLastNormalMenses	S	0..1	Reference(Observation - Last Menstrual Period)	Date last normal menses began
entry:numberNowLiving	S	0..1	Reference(Observation - Number of Births Now Living)	Number of previous live births now living
entry:numberNowDead	S	0..1	Reference(Observation - Number of Births Now Dead)	Number of previous live births now dead
entry:dateLastLiveBirth	S	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:numberOtherOutcomes	S	0..1	Reference(Observation - Number of Other Pregnancy Outcomes)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	S	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	S	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	S	0..1	Reference(Observation - Mother Delivery Weight)	Mother's weight at delivery
entry:mothersHeight	S	0..1	Reference(Observation - Mother Height)	Mother's height
entry:mothersPrepregnancyWeight	S	0..1	Reference(Observation - Mother Prepregnancy Weight)	Mother's prepregnancy weight
entry:motherReceivedWICFood	S	0..1	Reference(Observation - Mother Recieved WIC Food)	Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy	S	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation	S	0..1	BackboneElement	Medical and Health Information section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Clinical information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
focus	S	1..1	Reference(Patient - Mother)	The focus of this section is the mother
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	S	0..*	Reference(Observation - Pregnancy Risk Factor)	Risk factors in this pregnancy
entry:numberPreviousCesareans	S	0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:infectionsDuringPregnancy	S	0..*	Reference(Condition - Infection Present During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	S	1..1	Reference(Procedure - Obstetric)	Obstetric procedures
entry:characteristicsLaborDelivery	S	0..*	Reference(Observation - Characteristic of Labor and Delivery)	Characteristics of labor and delivery
entry:fetalPresentation	S	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	S	0..1	Reference(Procedure - Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	S	0..*	Reference(Condition - Maternal Morbidity)	Maternal morbidity (complications associated with labor and delivery)
section:newbornInformation	S	0..1	BackboneElement	Newborn section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Newborn delivery information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	S	0..1	Reference(Observation - Birth Weight)	Birthweight
entry:gestationalAgeAtDelivery	S	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:APGARScore	S	0..2	Reference(Observation - APGAR Score)	APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:plurality	S	0..1	Reference(Observation - Plurality)	Plurality - Single, Twin, Triplet, etc.
entry:numberLiveBirthsThisDelivery	S	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:abnormalConditionsNewborn	S	0..*	Reference(Condition - Abnormal Condition of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	S	0..*	Reference(Condition - Congenital Anomaly of Newborn)	Congenital anomolies of the newborn
entry:infantLiving	S	0..1	Reference(Observation - Infant Living)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	S	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
section:motherInformation	S	0..1	BackboneElement	Composition is broken into sections
code	S	1..1	CodeableConcept	Mother's administrative information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92014-0
focus	S	1..1	Reference(Patient - Mother)	Who/what the section is about, when it is not about the subject of composition
Slices for entry	S	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:marriedDuringPregnancy	S	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	S	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
entry:mothersEducation	S	0..1	Reference(Observation - Parent Education Level)	Mother's education
section:fatherInformation	S	0..1	BackboneElement	Father section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Father's administrative information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
focus	S	1..1	Reference(RelatedPerson - Father Natural)	The focus of this section is the father
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:paternityAcknowledgementSigned	S	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	S	0..1	Reference(Observation - Parent Education Level)	Father's education
section:patientsQuestionnaireResponse		0..1	BackboneElement	Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
code		1..1	CodeableConcept	Questionnaire response Document Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 74465-6
entry		1..1	Reference(QuestionnaireResponse)	QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Provider Live Birth Report
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
Extension-live-birth-certificate-number	S	1..1	Identifier	Birth Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
Extension-live-birth-local-file-number	S	0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
Extension-date-filed-by-registrar	S	1..1	dateTime	Date filed by registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	U.S. standard certificate of live birth - 2003 revision Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 68998-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient - Child)	The subject of the composition is the newborn baby
encounter	SΣ	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..1	Reference(Practitioner - VitalRecords)	The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SI	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:motherPrenatal	SI	0..1	BackboneElement	Mother (prenatal) section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57073-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(Patient - Mother)	The focus of this section is the mother
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SI	1..*	Reference(Resource)	Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	SI	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	SI	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:numberPrenatalCareVisits	SI	0..1	Reference(Observation - Number of Prenatal Visits)	Number of prenatal care visits
entry:dateLastNormalMenses	SI	0..1	Reference(Observation - Last Menstrual Period)	Date last normal menses began
entry:numberNowLiving	SI	0..1	Reference(Observation - Number of Births Now Living)	Number of previous live births now living
entry:numberNowDead	SI	0..1	Reference(Observation - Number of Births Now Dead)	Number of previous live births now dead
entry:dateLastLiveBirth	SI	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:numberOtherOutcomes	SI	0..1	Reference(Observation - Number of Other Pregnancy Outcomes)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	SI	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	SI	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	SI	0..1	Reference(Observation - Mother Delivery Weight)	Mother's weight at delivery
entry:mothersHeight	SI	0..1	Reference(Observation - Mother Height)	Mother's height
entry:mothersPrepregnancyWeight	SI	0..1	Reference(Observation - Mother Prepregnancy Weight)	Mother's prepregnancy weight
entry:motherReceivedWICFood	SI	0..1	Reference(Observation - Mother Recieved WIC Food)	Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy	SI	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:medicalHealthInformation	SI	0..1	BackboneElement	Medical and Health Information section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(Patient - Mother)	The focus of this section is the mother
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SI	1..*	Reference(Resource)	Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	SI	0..*	Reference(Observation - Pregnancy Risk Factor)	Risk factors in this pregnancy
entry:numberPreviousCesareans	SI	0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:infectionsDuringPregnancy	SI	0..*	Reference(Condition - Infection Present During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	SI	1..1	Reference(Procedure - Obstetric)	Obstetric procedures
entry:characteristicsLaborDelivery	SI	0..*	Reference(Observation - Characteristic of Labor and Delivery)	Characteristics of labor and delivery
entry:fetalPresentation	SI	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	SI	0..1	Reference(Procedure - Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	SI	0..*	Reference(Condition - Maternal Morbidity)	Maternal morbidity (complications associated with labor and delivery)
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:newbornInformation	SI	0..1	BackboneElement	Newborn section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Newborn delivery information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SI	1..*	Reference(Resource)	Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	SI	0..1	Reference(Observation - Birth Weight)	Birthweight
entry:gestationalAgeAtDelivery	SI	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:APGARScore	SI	0..2	Reference(Observation - APGAR Score)	APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:plurality	SI	0..1	Reference(Observation - Plurality)	Plurality - Single, Twin, Triplet, etc.
entry:numberLiveBirthsThisDelivery	SI	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:abnormalConditionsNewborn	SI	0..*	Reference(Condition - Abnormal Condition of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	SI	0..*	Reference(Condition - Congenital Anomaly of Newborn)	Congenital anomolies of the newborn
entry:infantLiving	SI	0..1	Reference(Observation - Infant Living)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	SI	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:motherInformation	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92014-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(Patient - Mother)	Who/what the section is about, when it is not about the subject of composition
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SI	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:marriedDuringPregnancy	SI	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	SI	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
entry:mothersEducation	SI	0..1	Reference(Observation - Parent Education Level)	Mother's education
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:fatherInformation	SI	0..1	BackboneElement	Father section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(RelatedPerson - Father Natural)	The focus of this section is the father
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SI	1..*	Reference(Resource)	Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:paternityAcknowledgementSigned	SI	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	SI	0..1	Reference(Observation - Parent Education Level)	Father's education
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:patientsQuestionnaireResponse	I	0..1	BackboneElement	Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Questionnaire response Document Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 74465-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	I	1..1	Reference(QuestionnaireResponse)	QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Provider Live Birth Report
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Extension-live-birth-certificate-number		1..1	Identifier	Birth Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
Extension-live-birth-local-file-number		0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
Extension-date-filed-by-registrar		1..1	dateTime	Date filed by registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
status	?!Σ	1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	U.S. standard certificate of live birth - 2003 revision Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 68998-4
subject	Σ	1..1	Reference(Patient - Child)	The subject of the composition is the newborn baby
encounter	Σ	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
author	Σ	1..1	Reference(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	I	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:motherPrenatal	I	0..1	BackboneElement	Mother (prenatal) section on the Live Birth Certificate
code		1..1	CodeableConcept	Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57073-9
focus		1..1	Reference(Patient - Mother)	The focus of this section is the mother
Slices for entry	I	1..*	Reference(Resource)	Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	I	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	I	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:numberPrenatalCareVisits	I	0..1	Reference(Observation - Number of Prenatal Visits)	Number of prenatal care visits
entry:dateLastNormalMenses	I	0..1	Reference(Observation - Last Menstrual Period)	Date last normal menses began
entry:numberNowLiving	I	0..1	Reference(Observation - Number of Births Now Living)	Number of previous live births now living
entry:numberNowDead	I	0..1	Reference(Observation - Number of Births Now Dead)	Number of previous live births now dead
entry:dateLastLiveBirth	I	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:numberOtherOutcomes	I	0..1	Reference(Observation - Number of Other Pregnancy Outcomes)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	I	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	I	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	I	0..1	Reference(Observation - Mother Delivery Weight)	Mother's weight at delivery
entry:mothersHeight	I	0..1	Reference(Observation - Mother Height)	Mother's height
entry:mothersPrepregnancyWeight	I	0..1	Reference(Observation - Mother Prepregnancy Weight)	Mother's prepregnancy weight
entry:motherReceivedWICFood	I	0..1	Reference(Observation - Mother Recieved WIC Food)	Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy	I	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation	I	0..1	BackboneElement	Medical and Health Information section on the Live Birth Certificate
code		1..1	CodeableConcept	Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
focus		1..1	Reference(Patient - Mother)	The focus of this section is the mother
Slices for entry	I	1..*	Reference(Resource)	Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	I	0..*	Reference(Observation - Pregnancy Risk Factor)	Risk factors in this pregnancy
entry:numberPreviousCesareans	I	0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:infectionsDuringPregnancy	I	0..*	Reference(Condition - Infection Present During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	I	1..1	Reference(Procedure - Obstetric)	Obstetric procedures
entry:characteristicsLaborDelivery	I	0..*	Reference(Observation - Characteristic of Labor and Delivery)	Characteristics of labor and delivery
entry:fetalPresentation	I	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	I	0..1	Reference(Procedure - Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	I	0..*	Reference(Condition - Maternal Morbidity)	Maternal morbidity (complications associated with labor and delivery)
section:newbornInformation	I	0..1	BackboneElement	Newborn section on the Live Birth Certificate
code		1..1	CodeableConcept	Newborn delivery information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
Slices for entry	I	1..*	Reference(Resource)	Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	I	0..1	Reference(Observation - Birth Weight)	Birthweight
entry:gestationalAgeAtDelivery	I	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:APGARScore	I	0..2	Reference(Observation - APGAR Score)	APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:plurality	I	0..1	Reference(Observation - Plurality)	Plurality - Single, Twin, Triplet, etc.
entry:numberLiveBirthsThisDelivery	I	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:abnormalConditionsNewborn	I	0..*	Reference(Condition - Abnormal Condition of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	I	0..*	Reference(Condition - Congenital Anomaly of Newborn)	Congenital anomolies of the newborn
entry:infantLiving	I	0..1	Reference(Observation - Infant Living)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	I	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
section:motherInformation	I	0..1	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92014-0
focus		1..1	Reference(Patient - Mother)	Who/what the section is about, when it is not about the subject of composition
Slices for entry	I	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:marriedDuringPregnancy	I	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	I	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
entry:mothersEducation	I	0..1	Reference(Observation - Parent Education Level)	Mother's education
section:fatherInformation	I	0..1	BackboneElement	Father section on the Live Birth Certificate
code		1..1	CodeableConcept	Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
focus		1..1	Reference(RelatedPerson - Father Natural)	The focus of this section is the father
Slices for entry	I	1..*	Reference(Resource)	Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:paternityAcknowledgementSigned	I	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	I	0..1	Reference(Observation - Parent Education Level)	Father's education
Documentation for this format