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

Table of Contents

..0 Table of Contents
...1 Home Page
...2 The Specification
...3 Use Cases
...4 Patient Worksheet Questionnaires
...5 IHE Specification Relationship and Guidance
...6 IJE Mapping
...7 Terminology
...8 Downloads
...9 Appendices
....9.1 Appendix A - Example Facility Worksheet for the Live Birth Certificate
....9.2 Appendix B - Example Live Birth Certificate
....9.3 Appendix C - Example Facility Worksheet for the Fetal Death Report
....9.4 Appendix D - Example Fetal Death Report
...10 Artifacts Summary
....10.1 Composition - Provider Live Birth Report
....10.2 Questionnaire - Mother's Worksheet for Child's Birth Certificate
....10.3 Composition - Provider Fetal Death Report
....10.4 Questionnaire - Patient's Fetal Death Worksheet
....10.5 Composition - Jurisdiction Live Birth Report
....10.6 Composition - Jurisdiction Fetal Death Report
....10.7 Composition - Coded Cause of Fetal Death
....10.8 Composition - Coded Race and Ethnicity
....10.9 Encounter - Birth
....10.10 Encounter - Maternity
....10.11 Condition - Abnormal Condition of Newborn
....10.12 Condition - Congenital Anomaly of Newborn
....10.13 Observation - Fetal Presentation at Birth/Delivery
....10.14 Observation - Infant Breastfed at Discharge
....10.15 Coverage - Principal Payer for Delivery
....10.16 Observation - Cigarette Smoking Before and During Pregnancy
....10.17 Observation - Date of First Prenatal Care Visit
....10.18 Observation - Date of Last Live Birth
....10.19 Observation - Date of Last Other Pregnancy Outcome
....10.20 Observation - Mother Received WIC Food
....10.21 Observation - Planned to Deliver at Home
....10.22 Condition - Infection Present During Pregnancy
....10.23 Condition - Maternal Morbidity
....10.24 Observation - Characteristic of Labor and Delivery
....10.25 Observation - Labor Trial Attempted
....10.26 Procedure - Final Route and Method of Delivery
....10.27 Procedure - Obstetric
....10.28 Condition - Coded Initiation Fetal Death Cause or Condition
....10.29 Condition - Coded Other Fetal Death Cause or Condition
....10.30 Condition - Fetal Death Cause or Condition
....10.31 Condition - Fetal Death Other Cause or Condition
....10.32 Observation - Autopsy/Histological Exam Results Used
....10.33 Observation - Fetal Death Time Point
....10.34 Observation - Histological Placental Exam
....10.35 Observation - Method of Disposition
....10.36 Observation - Mother Married During Pregnancy
....10.37 Observation - Paternity Acknowledgement Signed
....10.38 Observation - Social Security Number Requested For Child
....10.39 Observation - Edit Flag Birthweight
....10.40 Observation - Edit Flag Estimate of Gestation
....10.41 Observation - Edit Flag Father's Date of Birth
....10.42 Observation - Edit Flag Father's Education
....10.43 Observation - Edit Flag Mother's Date of Birth
....10.44 Observation - Edit Flag Mother's Delivery Weight
....10.45 Observation - Edit Flag Mother's Education
....10.46 Observation - Edit Flag Mother's Height
....10.47 Observation - Edit Flag Mother's Prepregnancy Weight
....10.48 Observation - Edit Flag Number of Previous Cesareans
....10.49 Observation - Edit Flag Number Prenatal Care Visits
....10.50 Observation - Edit Flag Plurality
....10.51 Extension - Date Filed by Registrar
....10.52 Extension - Date Received by Registrar
....10.53 Extension - Fetal Death Local File Number [FDRFN]
....10.54 Extension - Fetal Death Report Number [FDR]
....10.55 Extension - Live Birth Certificate Local File Number [BCFN]
....10.56 Extension - Live Birth Certificate Number [BCT]
....10.57 Bundle - Document Birth and Fetal Death
....10.58 Bundle - Jurisdiction Live Birth Report example [Baby G Quinn]
....10.59 Bundle - Provider Live Birth example [Baby G Quinn]
....10.60 Composition - Jurisdiction Live Birth Report example [Baby G Quinn]
....10.61 Composition - Provider Supplied Live Birth Report Document example [Baby G Quinn]
....10.62 QuestionnaireResponse - Mother's Worksheet for Child's Birth Certificate: Jada Ann Quinn
....10.63 Location - US Core Location example [East Hospital]
....10.64 Location - US Core Location example [North Hospital]
....10.65 Location - US Core Location example [South Hospital]
....10.66 Patient - Child example [Baby G Quinn]
....10.67 Patient - Mother example [Eve Everywoman]
....10.68 Practitioner - Vital Records example [Avery Jones, MD]
....10.69 RelatedPerson - Father Natural example [James Brandon Quinn]
....10.70 RelatedPerson - Mother Gestational example [Jada Ann Quinn]
....10.71 Encounter - Maternity example [Jada Ann Quinn]
....10.72 Encounter - Birth example [Baby G Quinn]
....10.73 Condition - Abnormal Condition of Newborn example [Baby G Quinn]
....10.74 Condition - Congenital Anomaly of Newborn example [Baby G Quinn]
....10.75 Condition - Congenital Anomaly of Newborn example [BabyG Quinn]
....10.76 Condition - Infection Present During Pregnancy example [Jada Ann Quinn]
....10.77 Condition - Maternal Morbidity example [Jada Ann Quinn]
....10.78 Coverage - Principal Payer for Delivery example [Jada Ann Quinn]
....10.79 Observation - APGAR Score example [BabyG Quinn: 1 min]
....10.80 Observation - APGAR Score example [BabyG Quinn: 5 min]
....10.81 Observation - Birth Weight example [Baby G Quinn]
....10.82 Observation - Characteristic of Labor and Delivery example [Baby G Quinn: Antibiotics received during labor]
....10.83 Observation - Characteristic of Labor and Delivery example [Baby G Quinn: Chorioamnionitis]
....10.84 Observation - Characteristic of Labor and Delivery example [Baby G Quinn: Epidural or spinal anesthesia]
....10.85 Observation - Characteristic of Labor and Delivery example [Baby G Quinn: Induction of labor]
....10.86 Observation - Cigarette Smoking Before/During Pregnancy example [3 months prior: Jada Ann Quinn]
....10.87 Observation - Cigarette Smoking Before/During Pregnancy example [first 3 months: Jada Ann Quinn]
....10.88 Observation - Cigarette Smoking Before/During Pregnancy example [last 3 months: Jada Ann Quinn]
....10.89 Observation - Cigarette Smoking Before/During Pregnancy example [second 3 months: Jada Ann Quinn]
....10.90 Observation - Date of First Prenatal Care Visit example [Jada Ann Quinn]
....10.91 Observation - Date of Last Live Birth example [Jada Ann Quinn]
....10.92 Observation - Date of Last Other Pregnancy Outcome example [Jada Ann Quinn]
....10.93 Observation - Fetal Presentation example [Baby G Quinn]
....10.94 Observation - Gestational Age at Delivery example [Baby G Quinn]
....10.95 Observation - Infant Breastfed at Discharge example [Baby G Quinn]
....10.96 Observation - Infant Living example [Baby G Quinn]
....10.97 Observation - Labor Trial Attempted example [Baby G Quinn]
....10.98 Observation - Last Menstrual Period example [Jada Ann Quinn]
....10.99 Observation - Mother Delivery Weight example [Jada Ann Quinn]
....10.100 Observation - Mother Height example [Jada Ann Quinn]
....10.101 Observation - Mother Married During Pregnancy example [Jada Ann Quinn]
....10.102 Observation - Mother Prepregnancy Weight example [Jada Ann Quinn]
....10.103 Observation - Mother Received WIC Food example [Jada Ann Quinn]
....10.104 Observation - Number Births Now Dead
....10.105 Observation - Number Births Now Living example [Jada Ann Quinn]
....10.106 Observation - Number Live Births This Delivery example [Jada Ann Quinn]
....10.107 Observation - Number Other Pregnancy Outcomes example [Jada Ann Quinn]
....10.108 Observation - Number Prenatal Visits example [Jada Ann Quinn]
....10.109 Observation - Number Previous Cesareans example [Jada Ann Quinn]
....10.110 Observation - Parent Education Level example [Jada Ann Quinn]
....10.111 Observation - Parent Education Level example [James Quinn]
....10.112 Observation - Paternity Acknowledgement Signed example [James Quinn]
....10.113 Observation - Planned to Deliver at Home example [Baby G Quinn]
....10.114 Observation - Plurality example [Jada Ann Quinn]
....10.115 Observation - Pregnancy Risk Factor example [Jada Ann Quinn: Assisted fertilization]
....10.116 Observation - Pregnancy Risk Factor example [Jada Ann Quinn: Deliveries by Cesarean]
....10.117 Observation - Pregnancy Risk Factor example [Jada Ann Quinn: Fertility enhancing drug therapy]
....10.118 Observation - Pregnancy Risk Factor example [Jada Ann Quinn: Pregnancy-induced hypertension]
....10.119 Observation - SSN Requested for Child example [BabyG Quinn]
....10.120 Organization - US Core Organization example [South Hospital]
....10.121 Procedure - Final Route and Method of Delivery example [Baby G Quinn]
....10.122 Procedure - Obstetric Procedure example [Jada Ann Quinn]
....10.123 Bundle - Jurisdiction Fetal Report example [Fetus Not Named]
....10.124 Bundle - Provider Fetal Death Report example [Fetus Not Named]
....10.125 Composition - Jurisdiction Fetal Death example [Fetus Not Named]
....10.126 Composition - Jurisdiction fetal death report Document
....10.127 QuestionnaireResponse - Patient's Fetal Death Worksheet: Carmen Lee
....10.128 Patient - Decedent Fetus example [Fetus Not Named]
....10.129 Patient - Mother example [Carmen Teresa Lee]
....10.130 Practitioner - Vital Records example [Janet Seito]
....10.131 Practitioner - Vital Records example [Jessica Leung]
....10.132 RelatedPerson - Father Natural example [Tom Yan Lee]
....10.133 RelatedPerson - Mother Gestational example [Carmen Teresa Lee]
....10.134 Encounter - Maternity example [Carmen Teresa Lee]
....10.135 Condition - Coded Initiating Cause of Fetal Death
....10.136 Condition - Coded Other Cause of Fetal Death
....10.137 Condition - Fetal Death Cause or Condition example [Fetus Not Named]
....10.138 Condition - Fetal Death Other Cause or Condition example [Fetus Not Named]
....10.139 Condition - Maternal Morbidity example [Carmen Teresa Lee]
....10.140 Observation - Autopsy or Histological Exam Results Used
....10.141 Observation - Autopsy Performed example [Fetus Not Named]
....10.142 Observation - Birth Weight example [Fetus Not Named]
....10.143 Observation - Cigarette Smoking Before During Pregnancy example [3 months prior: Carmen Teresa Lee]
....10.144 Observation - Cigarette Smoking Before During Pregnancy example [first 3 months:Carmen Teresa Lee]
....10.145 Observation - Cigarette Smoking Before During Pregnancy example [last 3 months: Carmen Teresa Lee]
....10.146 Observation - Cigarette Smoking Before During Pregnancy example [second 3 months: Carmen Teresa Lee]
....10.147 Observation - Date of First Prenatal Care Visit example [Carmen Teresa Lee]
....10.148 Observation - Date of Last Live Birth example [Carmen Teresa Lee]
....10.149 Observation - Fetal Presentation example [Fetus Not Named]
....10.150 Observation - Gestational Age at Delivery example [Fetus Not Named]
....10.151 Observation - Histological Placental Exam Performed example [Fetus Not Named]
....10.152 Observation - Last Menstrual Period example [Carmen Teresa Lee]
....10.153 Observation - Method of Disposition example [Fetus Not Named]
....10.154 Observation - Mother Height example [Carmen Teresa Lee]
....10.155 Observation - Mother Prepregnancy Weight example [Carmen Teresa Lee]
....10.156 Observation - Mother Received WIC Food example [Carmen Teresa Lee]
....10.157 Observation - Number Live Births This Delivery example [Carmen Teresa Lee]
....10.158 Observation - Number of Births Now Dead example [Carmen Teresa Lee]
....10.159 Observation - Number of Births Now Living example [Carmen Teresa Lee]
....10.160 Observation - Number of Fetal Deaths This Delivery example [Carmen Teresa Lee]
....10.161 Observation - Observation Estimated Fetal Death Time Point example [Fetus Not Named]
....10.162 Observation - Parent Education Level example [Carmen Teresa Lee]
....10.163 Observation - Planned to Delivery at Home example [Fetus Not Named]
....10.164 Observation - Plurality example [Carmen Teresa Lee]
....10.165 Observation - Pregnancy Risk Factor example [Carmen Teresa Lee: Gestational diabetes mellitus]
....10.166 Observation - Pregnancy Risk Factor example [Carmen Teresa Lee: Hypertensive disorder, systemic arterial]
....10.167 Observations - Number Previous Cesareans example [Carmen Teresa Lee]
....10.168 Procedure - Final Route / Method of Delivery example [Fetus Not Named]
....10.169 Edit Flag - Birth Weight
....10.170 Edit Flag - Estimate of Gestation
....10.171 Edit Flag - Father's Birthdate
....10.172 Edit Flag - Father's Education
....10.173 Edit Flag - Mother's Birthdate
....10.174 Edit Flag - Mother's Delivery Weight
....10.175 Edit Flag - Mother's Education
....10.176 Edit Flag - Mother's Height
....10.177 Edit Flag - Mother's Prepregnancy Weight
....10.178 Edit Flag - Number Prenatal Care Visits
....10.179 Edit Flag - Number Previous Cesarians
....10.180 Edit Flag - Plurality
....10.181 Composition - Coded Race and Ethnicity example [Not Named]
....10.182 Composition - Coded Cause of Fetal Death example [Not Named]
....10.183 Observation - Race example [Jada Ann Quinn]
....10.184 Observation - Tabulated Ethnicity example [Jada Ann Quinn]
....10.185 Organization - US Core Organization example [Jurisdictional Vital Records Office]
....10.186 Organization - US Core Organization example [National Center for Health Statistics [NCHS]]
....10.187 Observation - Race example [Carmen Teresa Lee]
....10.188 Observation - Race example [Tom Yan Lee]
....10.189 Observation - Race example [James Quinn]
....10.190 Observation - Tabulated Ethnicity example [Carmen Teresa Lee]
....10.191 Observation - Tabulated Ethnicity example [James Quinn]
....10.192 Observation - Tabulated Ethnicity example [Tom Yan Lee]
....10.193 CapabilityStatement - Birth and Fetal Death Reporting
....10.194 Cigarette Smoking Before and During Pregnancy