This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

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Resource Profile: Composition - Jurisdiction Fetal Death Report

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

Usage:

• Use this Resource Profile: Bundle - Document Birth and Fetal Death
• Examples for this Resource Profile: Composition/composition-jurisdiction-fetal-death-not-named

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition			Composition
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber		1..1	Identifier	State File Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber		0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar		1..1	dateTime	Extension - Date received by Registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar
status		1..1	code	In the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
type		1..1	CodeableConcept	Jurisdiction fetal death report 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: 92010-8
subject		1..1	Reference(Patient - Decedent Fetus)	The subject of the composition is the decedent fetus
encounter		0..1	Reference(Encounter - Maternity)	The Encounter for the Composition is the mother's maternity encounter.
date		1..1	dateTime	Date report completed
author		1..1	Reference(US Core Organization Profile)	The author is the jurisdictional Vital Records Office.
Slices for section		0..*	BackboneElement	The 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		0..1	BackboneElement	motherPrenatal Section on the Jurisdiction Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) 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 Vital Records)	The focus of this section is the mother
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the motherPrenatal Section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome		0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit		0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:dateLastNormalMenses		0..1	Reference(Observation - Last Menstrual Period)	Date last normal menses began
entry:numberNowLiving		0..1	Reference(Observation - Number of Births Now Living)	Number of previous live births now living
entry:numberNowDead		0..1	Reference(Observation - Number of Births Now Dead)	Number of previous live births now dead
entry:dateLastLiveBirth		0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:mothersHeight		0..1	Reference(Observation - Mother Height)	Mother's height
entry:mothersPrepregnancyWeight		0..1	Reference(Observation - Mother Prepregnancy Weight)	Mother's prepregnancy weight
entry:motherReceivedWICFood		0..1	Reference(Observation - Mother Recieved WIC Food)	Use
entry:cigaretteSmokingBeforeDuringPregnancy		0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation		0..1	BackboneElement	medicalHealthInformation Section on the Jurisdiction Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
focus		1..1	Reference(Patient - Mother Vital Records)	The focus of this section is the mother
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the medicalHealthInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors		0..*	Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)	Risk factors in this pregnancy
entry:numberPreviousCesareans		0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:fetalPresentation		0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery		0..1	Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity		0..*	Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities)	Maternal morbidity (complications associated with labor and delivery)
section:fetus		0..1	BackboneElement	fetus Section on the Jurisdiction Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) 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: 76400-1
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the fetus Section Slice: Unordered, Open by profile:$this.resolve()
entry:deliveryWeight		0..1	Reference(Observation - Birth Weight)	Delivery weight
entry:gestationalAgeAtDelivery		0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:methodOfDisposition		0..1	Reference(Observation - Method of Disposition)	Method of decedent fetus disposition
entry:causeOfFetalDeath		0..1	Reference(Condition - Fetal Death Cause or Condition)	Initiating cause or condition of fetal death
entry:otherCauseOfDeath		0..*	Reference(Condition - Fetal Death Other Cause or Condition)	Another significant cause or condition for the death of the fetus.
entry:estimatedTimeFetalDeath		0..1	Reference(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		0..1	Reference(Observation - Autopsy Performed Indicator Vital Records)	An indication if an autopsy has been performed on the subject.
entry:histologicalExamPerformed		0..1	Reference(Observation - Histological Placental Exam Performed)	Whether or not a histological placental examination was performed.
entry:autopsyOrHistologicalExamUsed		0..1	Reference(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:numberLiveBirthsThisDelivery		0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:numberFetalDeathsThisDelivery		0..1	Reference(Observation - Number of Fetal Deaths This Delivery)	Number of fetal deaths this delivery
section:motherInformation		0..1	BackboneElement	motherInformation Section on the Jurisdiction Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) 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 Vital Records)	The focus of this section is the mother
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the motherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:mothersEducation		0..1	Reference(Observation - Education Level Vital Records)	Mother's Education
entry:mothersUsualWork		0..1	Reference(Observation - Usual Work)	Mother's Usual Work
entry:mothersRaceEthnicity		0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Mother's Input Race and Ethnicity
section:fatherInformation		0..1	BackboneElement	Father Administrative Section on the Fetal Death Report
code		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		1..1	Reference(RelatedPerson - Father Natural Vital Records)	The focus of this section is the father
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:fathersUsualWork		0..1	Reference(Observation - Usual Work)	Father's Usual Work
section:emergingIssues		0..1	BackboneElement	emergingIssues Section on the Jurisdiction Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve()
entry:EmergingIssues		0..1	Reference(Observation - Emerging Issues Vital Records)	Emerging Issues
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber		1..1	Identifier	State File Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber		0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar		1..1	dateTime	Extension - Date received by Registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	In 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	Σ	1..1	CodeableConcept	Jurisdiction fetal death report Document 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: 92010-8
subject	Σ	1..1	Reference(Patient - Decedent Fetus)	The subject of the composition is the decedent fetus
encounter	Σ	0..1	Reference(Encounter - Maternity)	The Encounter for the Composition is the mother's maternity encounter.
date	Σ	1..1	dateTime	Date report completed
author	Σ	1..1	Reference(US Core Organization Profile)	The author is the jurisdictional Vital Records Office.
title	Σ	1..1	string	Human Readable name/title
Slices for section	C	0..*	BackboneElement	The 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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:motherPrenatal	C	0..1	BackboneElement	motherPrenatal Section on the Jurisdiction Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) 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 Vital Records)	The focus of this section is the mother
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the motherPrenatal Section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	C	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	C	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:dateLastNormalMenses	C	0..1	Reference(Observation - Last Menstrual Period)	Date last normal menses began
entry:numberNowLiving	C	0..1	Reference(Observation - Number of Births Now Living)	Number of previous live births now living
entry:numberNowDead	C	0..1	Reference(Observation - Number of Births Now Dead)	Number of previous live births now dead
entry:dateLastLiveBirth	C	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:mothersHeight	C	0..1	Reference(Observation - Mother Height)	Mother's height
entry:mothersPrepregnancyWeight	C	0..1	Reference(Observation - Mother Prepregnancy Weight)	Mother's prepregnancy weight
entry:motherReceivedWICFood	C	0..1	Reference(Observation - Mother Recieved WIC Food)	Use
entry:cigaretteSmokingBeforeDuringPregnancy	C	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation	C	0..1	BackboneElement	medicalHealthInformation Section on the Jurisdiction Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) 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 Vital Records)	The focus of this section is the mother
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the medicalHealthInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	C	0..*	Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)	Risk factors in this pregnancy
entry:numberPreviousCesareans	C	0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:fetalPresentation	C	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	C	0..1	Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	C	0..*	Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities)	Maternal morbidity (complications associated with labor and delivery)
section:fetus	C	0..1	BackboneElement	fetus Section on the Jurisdiction Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) 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: 76400-1
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the fetus Section Slice: Unordered, Open by profile:$this.resolve()
entry:deliveryWeight	C	0..1	Reference(Observation - Birth Weight)	Delivery weight
entry:gestationalAgeAtDelivery	C	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:methodOfDisposition	C	0..1	Reference(Observation - Method of Disposition)	Method of decedent fetus disposition
entry:causeOfFetalDeath	C	0..1	Reference(Condition - Fetal Death Cause or Condition)	Initiating cause or condition of fetal death
entry:otherCauseOfDeath	C	0..*	Reference(Condition - Fetal Death Other Cause or Condition)	Another significant cause or condition for the death of the fetus.
entry:estimatedTimeFetalDeath	C	0..1	Reference(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	C	0..1	Reference(Observation - Autopsy Performed Indicator Vital Records)	An indication if an autopsy has been performed on the subject.
entry:histologicalExamPerformed	C	0..1	Reference(Observation - Histological Placental Exam Performed)	Whether or not a histological placental examination was performed.
entry:autopsyOrHistologicalExamUsed	C	0..1	Reference(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:numberLiveBirthsThisDelivery	C	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:numberFetalDeathsThisDelivery	C	0..1	Reference(Observation - Number of Fetal Deaths This Delivery)	Number of fetal deaths this delivery
section:motherInformation	C	0..1	BackboneElement	motherInformation Section on the Jurisdiction Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) 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 Vital Records)	The focus of this section is the mother
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the motherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:mothersEducation	C	0..1	Reference(Observation - Education Level Vital Records)	Mother's Education
entry:mothersUsualWork	C	0..1	Reference(Observation - Usual Work)	Mother's Usual Work
entry:mothersRaceEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Mother's Input Race and Ethnicity
section:fatherInformation	C	0..1	BackboneElement	Father Administrative Section on the Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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 Vital Records)	The focus of this section is the father
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:fathersUsualWork	C	0..1	Reference(Observation - Usual Work)	Father's Usual Work
section:emergingIssues	C	0..1	BackboneElement	emergingIssues Section on the Jurisdiction Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve()
entry:EmergingIssues	C	0..1	Reference(Observation - Emerging Issues Vital Records)	Emerging Issues
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 92010-8
Composition.section:motherPrenatal.code	example	Pattern: LOINC code 57073-9
Composition.section:medicalHealthInformation.code	example	Pattern: LOINC code 55752-0
Composition.section:fetus.code	example	Pattern: LOINC code 76400-1
Composition.section:motherInformation.code	example	Pattern: LOINC code 92014-0
Composition.section:fatherInformation.code	example	Pattern: LOINC code 92013-2
Composition.section:emergingIssues.code	example	Pattern: emergingissues

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	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): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber		1..1	Identifier	State File Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber		0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar		1..1	dateTime	Extension - Date received by Registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	In 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	Σ	1..1	CodeableConcept	Jurisdiction fetal death report Document 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: 92010-8
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	Σ	1..1	Reference(Patient - Decedent Fetus)	The subject of the composition is the decedent fetus
encounter	Σ	0..1	Reference(Encounter - Maternity)	The Encounter for the Composition is the mother's maternity encounter.
date	Σ	1..1	dateTime	Date report completed
author	Σ	1..1	Reference(US Core Organization Profile)	The author is the jurisdictional Vital Records Office.
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	C	0..*	BackboneElement	The 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..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	C	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	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:motherPrenatal	C	0..1	BackboneElement	motherPrenatal Section on the Jurisdiction 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	Classification of section (recommended) 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		1..1	Reference(Patient - Mother Vital Records)	The focus of this section is the mother
text	C	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	C	0..*	Reference(Resource)	Entries that are contained in the motherPrenatal Section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	C	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	C	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:dateLastNormalMenses	C	0..1	Reference(Observation - Last Menstrual Period)	Date last normal menses began
entry:numberNowLiving	C	0..1	Reference(Observation - Number of Births Now Living)	Number of previous live births now living
entry:numberNowDead	C	0..1	Reference(Observation - Number of Births Now Dead)	Number of previous live births now dead
entry:dateLastLiveBirth	C	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:mothersHeight	C	0..1	Reference(Observation - Mother Height)	Mother's height
entry:mothersPrepregnancyWeight	C	0..1	Reference(Observation - Mother Prepregnancy Weight)	Mother's prepregnancy weight
entry:motherReceivedWICFood	C	0..1	Reference(Observation - Mother Recieved WIC Food)	Use
entry:cigaretteSmokingBeforeDuringPregnancy	C	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:medicalHealthInformation	C	0..1	BackboneElement	medicalHealthInformation Section on the Jurisdiction 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	Classification of section (recommended) 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		1..1	Reference(Patient - Mother Vital Records)	The focus of this section is the mother
text	C	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	C	0..*	Reference(Resource)	Entries that are contained in the medicalHealthInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	C	0..*	Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)	Risk factors in this pregnancy
entry:numberPreviousCesareans	C	0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:fetalPresentation	C	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	C	0..1	Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	C	0..*	Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities)	Maternal morbidity (complications associated with labor and delivery)
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:fetus	C	0..1	BackboneElement	fetus Section on the Jurisdiction 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	Classification of section (recommended) 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: 76400-1
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	C	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	C	0..*	Reference(Resource)	Entries that are contained in the fetus Section Slice: Unordered, Open by profile:$this.resolve()
entry:deliveryWeight	C	0..1	Reference(Observation - Birth Weight)	Delivery weight
entry:gestationalAgeAtDelivery	C	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:methodOfDisposition	C	0..1	Reference(Observation - Method of Disposition)	Method of decedent fetus disposition
entry:causeOfFetalDeath	C	0..1	Reference(Condition - Fetal Death Cause or Condition)	Initiating cause or condition of fetal death
entry:otherCauseOfDeath	C	0..*	Reference(Condition - Fetal Death Other Cause or Condition)	Another significant cause or condition for the death of the fetus.
entry:estimatedTimeFetalDeath	C	0..1	Reference(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	C	0..1	Reference(Observation - Autopsy Performed Indicator Vital Records)	An indication if an autopsy has been performed on the subject.
entry:histologicalExamPerformed	C	0..1	Reference(Observation - Histological Placental Exam Performed)	Whether or not a histological placental examination was performed.
entry:autopsyOrHistologicalExamUsed	C	0..1	Reference(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:numberLiveBirthsThisDelivery	C	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:numberFetalDeathsThisDelivery	C	0..1	Reference(Observation - Number of Fetal Deaths This Delivery)	Number of fetal deaths this delivery
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:motherInformation	C	0..1	BackboneElement	motherInformation Section on the Jurisdiction 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	Classification of section (recommended) 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		1..1	Reference(Patient - Mother Vital Records)	The focus of this section is the mother
text	C	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	C	0..*	Reference(Resource)	Entries that are contained in the motherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:mothersEducation	C	0..1	Reference(Observation - Education Level Vital Records)	Mother's Education
entry:mothersUsualWork	C	0..1	Reference(Observation - Usual Work)	Mother's Usual Work
entry:mothersRaceEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Mother's Input Race and Ethnicity
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:fatherInformation	C	0..1	BackboneElement	Father Administrative Section on the 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	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		1..1	Reference(RelatedPerson - Father Natural Vital Records)	The focus of this section is the father
text	C	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	C	0..*	Reference(Resource)	Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:fathersUsualWork	C	0..1	Reference(Observation - Usual Work)	Father's Usual Work
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:emergingIssues	C	0..1	BackboneElement	emergingIssues Section on the Jurisdiction 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	Classification of section (recommended) 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://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
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	C	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	C	0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve()
entry:EmergingIssues	C	0..1	Reference(Observation - Emerging Issues Vital Records)	Emerging Issues
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 92010-8
Composition.category	example	DocumentClassValueSet
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.relatesTo.code	required	DocumentRelationshipType
Composition.event.code	example	ActCode
Composition.section.code	example	DocumentSectionCodes
Composition.section.mode	required	ListMode
Composition.section.orderedBy	preferred	ListOrderCodes
Composition.section.emptyReason	preferred	ListEmptyReasons
Composition.section:motherPrenatal.code	example	Pattern: LOINC code 57073-9
Composition.section:motherPrenatal.mode	required	ListMode
Composition.section:motherPrenatal.orderedBy	preferred	ListOrderCodes
Composition.section:motherPrenatal.emptyReason	preferred	ListEmptyReasons
Composition.section:medicalHealthInformation.code	example	Pattern: LOINC code 55752-0
Composition.section:medicalHealthInformation.mode	required	ListMode
Composition.section:medicalHealthInformation.orderedBy	preferred	ListOrderCodes
Composition.section:medicalHealthInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:fetus.code	example	Pattern: LOINC code 76400-1
Composition.section:fetus.mode	required	ListMode
Composition.section:fetus.orderedBy	preferred	ListOrderCodes
Composition.section:fetus.emptyReason	preferred	ListEmptyReasons
Composition.section:motherInformation.code	example	Pattern: LOINC code 92014-0
Composition.section:motherInformation.mode	required	ListMode
Composition.section:motherInformation.orderedBy	preferred	ListOrderCodes
Composition.section:motherInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:fatherInformation.code	example	Pattern: LOINC code 92013-2
Composition.section:fatherInformation.mode	required	ListMode
Composition.section:fatherInformation.orderedBy	preferred	ListOrderCodes
Composition.section:fatherInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:emergingIssues.code	example	Pattern: emergingissues
Composition.section:emergingIssues.mode	required	ListMode
Composition.section:emergingIssues.orderedBy	preferred	ListOrderCodes
Composition.section:emergingIssues.emptyReason	preferred	ListEmptyReasons

This structure is derived from Composition

Summary

Mandatory: 3 elements (10 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient - Decedent Fetus (http://hl7.org/fhir/us/bfdr/StructureDefinition/Patient-decedent-fetus)
• Encounter - Maternity (http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• Patient - Mother Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr)
• Observation - Planned to Deliver at Home (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-planned-to-deliver-at-home)
• Observation - Date of First Prenatal Care Visit (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit)
• Observation - Last Menstrual Period (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-last-menstrual-period)
• Observation - Number of Births Now Living (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-living)
• Observation - Number of Births Now Dead (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-dead)
• Observation - Date of Last Live Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth)
• Observation - Mother Height (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-height)
• Observation - Mother Prepregnancy Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-prepregnancy-weight)
• Observation - Mother Recieved WIC Food (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-received-wic-food)
• Observation - Cigarette Smoking Before and During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy)
• Condition - Prepregnancy Diabetes (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-diabetes)
• Condition - Gestational Diabetes (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-diabetes)
• Condition - Prepregnancy Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-hypertension)
• Condition - Gestational Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-hypertension)
• Condition - Eclampsia Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-eclampsia-hypertension)
• Observation - Previous Preterm Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-previous-preterm-birth)
• Procedure - Infertility Treatment (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-infertility-treatment)
• Procedure - Artificial Insemination (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-artificial-insemination)
• Procedure - Assisted Fertilization (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-fertilization)
• Observation - Previous Cesarean (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-previous-cesarean)
• Observation - None Of Specified Pregnancy Risk Factors (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-pregnancy-risk-factors)
• Observation - Number of Previous Cesareans (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-previous-cesareans)
• Observation - Fetal Presentation at Birth/Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation)
• Procedure - Final Route and Method of Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery)
• Observation - Unknown Final Route and Method of Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-unknown-final-route-and-method-of-delivery)
• Procedure - Blood Transfusion (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-blood-transfusion)
• Condition - Perineal Laceration (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-perineal-laceration)
• Condition - Ruptured Uterus (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-ruptured-uterus)
• Procedure - Unplanned Hysterectomy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-unplanned-hysterectomy)
• Observation - ICU Admission (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-icu-admission)
• Observation - None Of Specified Maternal Morbidities (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-maternal-morbidities)
• Observation - Birth Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight)
• Observation - Gestational Age at Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-gestational-age-at-delivery)
• Observation - Method of Disposition (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-method-of-disposition)
• Condition - Fetal Death Cause or Condition (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-cause-or-condition)
• Condition - Fetal Death Other Cause or Condition (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-other-cause-or-condition)
• Observation - Fetal Death Time Point (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-death-time-point)
• Observation - Autopsy Performed Indicator Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-autopsy-performed-indicator-vr)
• Observation - Histological Placental Exam Performed (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-histological-placental-exam-performed)
• Observation - Autopsy or Histological Exam Results Used (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-autopsy-histological-exam-results-used)
• Observation - Number of Live Births This Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-live-births-this-delivery)
• Observation - Number of Fetal Deaths This Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-fetal-deaths-this-delivery)
• Observation - Education Level Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr)
• Observation - Usual Work (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-usual-work-vr)
• Observation - Input Race and Ethnicity Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr)
• RelatedPerson - Father Natural Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr)
• Observation - Emerging Issues Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar

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

Name	Flags	Card.	Type	Description & Constraints
Composition			Composition
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber		1..1	Identifier	State File Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber		0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar		1..1	dateTime	Extension - Date received by Registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar
status		1..1	code	In the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
type		1..1	CodeableConcept	Jurisdiction fetal death report 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: 92010-8
subject		1..1	Reference(Patient - Decedent Fetus)	The subject of the composition is the decedent fetus
encounter		0..1	Reference(Encounter - Maternity)	The Encounter for the Composition is the mother's maternity encounter.
date		1..1	dateTime	Date report completed
author		1..1	Reference(US Core Organization Profile)	The author is the jurisdictional Vital Records Office.
Slices for section		0..*	BackboneElement	The 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		0..1	BackboneElement	motherPrenatal Section on the Jurisdiction Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) 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 Vital Records)	The focus of this section is the mother
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the motherPrenatal Section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome		0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit		0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:dateLastNormalMenses		0..1	Reference(Observation - Last Menstrual Period)	Date last normal menses began
entry:numberNowLiving		0..1	Reference(Observation - Number of Births Now Living)	Number of previous live births now living
entry:numberNowDead		0..1	Reference(Observation - Number of Births Now Dead)	Number of previous live births now dead
entry:dateLastLiveBirth		0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:mothersHeight		0..1	Reference(Observation - Mother Height)	Mother's height
entry:mothersPrepregnancyWeight		0..1	Reference(Observation - Mother Prepregnancy Weight)	Mother's prepregnancy weight
entry:motherReceivedWICFood		0..1	Reference(Observation - Mother Recieved WIC Food)	Use
entry:cigaretteSmokingBeforeDuringPregnancy		0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation		0..1	BackboneElement	medicalHealthInformation Section on the Jurisdiction Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
focus		1..1	Reference(Patient - Mother Vital Records)	The focus of this section is the mother
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the medicalHealthInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors		0..*	Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)	Risk factors in this pregnancy
entry:numberPreviousCesareans		0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:fetalPresentation		0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery		0..1	Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity		0..*	Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities)	Maternal morbidity (complications associated with labor and delivery)
section:fetus		0..1	BackboneElement	fetus Section on the Jurisdiction Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) 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: 76400-1
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the fetus Section Slice: Unordered, Open by profile:$this.resolve()
entry:deliveryWeight		0..1	Reference(Observation - Birth Weight)	Delivery weight
entry:gestationalAgeAtDelivery		0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:methodOfDisposition		0..1	Reference(Observation - Method of Disposition)	Method of decedent fetus disposition
entry:causeOfFetalDeath		0..1	Reference(Condition - Fetal Death Cause or Condition)	Initiating cause or condition of fetal death
entry:otherCauseOfDeath		0..*	Reference(Condition - Fetal Death Other Cause or Condition)	Another significant cause or condition for the death of the fetus.
entry:estimatedTimeFetalDeath		0..1	Reference(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		0..1	Reference(Observation - Autopsy Performed Indicator Vital Records)	An indication if an autopsy has been performed on the subject.
entry:histologicalExamPerformed		0..1	Reference(Observation - Histological Placental Exam Performed)	Whether or not a histological placental examination was performed.
entry:autopsyOrHistologicalExamUsed		0..1	Reference(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:numberLiveBirthsThisDelivery		0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:numberFetalDeathsThisDelivery		0..1	Reference(Observation - Number of Fetal Deaths This Delivery)	Number of fetal deaths this delivery
section:motherInformation		0..1	BackboneElement	motherInformation Section on the Jurisdiction Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) 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 Vital Records)	The focus of this section is the mother
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the motherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:mothersEducation		0..1	Reference(Observation - Education Level Vital Records)	Mother's Education
entry:mothersUsualWork		0..1	Reference(Observation - Usual Work)	Mother's Usual Work
entry:mothersRaceEthnicity		0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Mother's Input Race and Ethnicity
section:fatherInformation		0..1	BackboneElement	Father Administrative Section on the Fetal Death Report
code		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		1..1	Reference(RelatedPerson - Father Natural Vital Records)	The focus of this section is the father
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:fathersUsualWork		0..1	Reference(Observation - Usual Work)	Father's Usual Work
section:emergingIssues		0..1	BackboneElement	emergingIssues Section on the Jurisdiction Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve()
entry:EmergingIssues		0..1	Reference(Observation - Emerging Issues Vital Records)	Emerging Issues
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber		1..1	Identifier	State File Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber		0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar		1..1	dateTime	Extension - Date received by Registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	In 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	Σ	1..1	CodeableConcept	Jurisdiction fetal death report Document 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: 92010-8
subject	Σ	1..1	Reference(Patient - Decedent Fetus)	The subject of the composition is the decedent fetus
encounter	Σ	0..1	Reference(Encounter - Maternity)	The Encounter for the Composition is the mother's maternity encounter.
date	Σ	1..1	dateTime	Date report completed
author	Σ	1..1	Reference(US Core Organization Profile)	The author is the jurisdictional Vital Records Office.
title	Σ	1..1	string	Human Readable name/title
Slices for section	C	0..*	BackboneElement	The 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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:motherPrenatal	C	0..1	BackboneElement	motherPrenatal Section on the Jurisdiction Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) 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 Vital Records)	The focus of this section is the mother
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the motherPrenatal Section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	C	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	C	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:dateLastNormalMenses	C	0..1	Reference(Observation - Last Menstrual Period)	Date last normal menses began
entry:numberNowLiving	C	0..1	Reference(Observation - Number of Births Now Living)	Number of previous live births now living
entry:numberNowDead	C	0..1	Reference(Observation - Number of Births Now Dead)	Number of previous live births now dead
entry:dateLastLiveBirth	C	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:mothersHeight	C	0..1	Reference(Observation - Mother Height)	Mother's height
entry:mothersPrepregnancyWeight	C	0..1	Reference(Observation - Mother Prepregnancy Weight)	Mother's prepregnancy weight
entry:motherReceivedWICFood	C	0..1	Reference(Observation - Mother Recieved WIC Food)	Use
entry:cigaretteSmokingBeforeDuringPregnancy	C	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation	C	0..1	BackboneElement	medicalHealthInformation Section on the Jurisdiction Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) 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 Vital Records)	The focus of this section is the mother
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the medicalHealthInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	C	0..*	Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)	Risk factors in this pregnancy
entry:numberPreviousCesareans	C	0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:fetalPresentation	C	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	C	0..1	Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	C	0..*	Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities)	Maternal morbidity (complications associated with labor and delivery)
section:fetus	C	0..1	BackboneElement	fetus Section on the Jurisdiction Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) 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: 76400-1
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the fetus Section Slice: Unordered, Open by profile:$this.resolve()
entry:deliveryWeight	C	0..1	Reference(Observation - Birth Weight)	Delivery weight
entry:gestationalAgeAtDelivery	C	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:methodOfDisposition	C	0..1	Reference(Observation - Method of Disposition)	Method of decedent fetus disposition
entry:causeOfFetalDeath	C	0..1	Reference(Condition - Fetal Death Cause or Condition)	Initiating cause or condition of fetal death
entry:otherCauseOfDeath	C	0..*	Reference(Condition - Fetal Death Other Cause or Condition)	Another significant cause or condition for the death of the fetus.
entry:estimatedTimeFetalDeath	C	0..1	Reference(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	C	0..1	Reference(Observation - Autopsy Performed Indicator Vital Records)	An indication if an autopsy has been performed on the subject.
entry:histologicalExamPerformed	C	0..1	Reference(Observation - Histological Placental Exam Performed)	Whether or not a histological placental examination was performed.
entry:autopsyOrHistologicalExamUsed	C	0..1	Reference(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:numberLiveBirthsThisDelivery	C	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:numberFetalDeathsThisDelivery	C	0..1	Reference(Observation - Number of Fetal Deaths This Delivery)	Number of fetal deaths this delivery
section:motherInformation	C	0..1	BackboneElement	motherInformation Section on the Jurisdiction Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) 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 Vital Records)	The focus of this section is the mother
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the motherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:mothersEducation	C	0..1	Reference(Observation - Education Level Vital Records)	Mother's Education
entry:mothersUsualWork	C	0..1	Reference(Observation - Usual Work)	Mother's Usual Work
entry:mothersRaceEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Mother's Input Race and Ethnicity
section:fatherInformation	C	0..1	BackboneElement	Father Administrative Section on the Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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 Vital Records)	The focus of this section is the father
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:fathersUsualWork	C	0..1	Reference(Observation - Usual Work)	Father's Usual Work
section:emergingIssues	C	0..1	BackboneElement	emergingIssues Section on the Jurisdiction Fetal Death Report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve()
entry:EmergingIssues	C	0..1	Reference(Observation - Emerging Issues Vital Records)	Emerging Issues
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 92010-8
Composition.section:motherPrenatal.code	example	Pattern: LOINC code 57073-9
Composition.section:medicalHealthInformation.code	example	Pattern: LOINC code 55752-0
Composition.section:fetus.code	example	Pattern: LOINC code 76400-1
Composition.section:motherInformation.code	example	Pattern: LOINC code 92014-0
Composition.section:fatherInformation.code	example	Pattern: LOINC code 92013-2
Composition.section:emergingIssues.code	example	Pattern: emergingissues

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	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): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
fetalDeathReportNumber		1..1	Identifier	State File Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
fetalDeathLocalFileNumber		0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
dateReceivedByRegistrar		1..1	dateTime	Extension - Date received by Registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	In 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	Σ	1..1	CodeableConcept	Jurisdiction fetal death report Document 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: 92010-8
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	Σ	1..1	Reference(Patient - Decedent Fetus)	The subject of the composition is the decedent fetus
encounter	Σ	0..1	Reference(Encounter - Maternity)	The Encounter for the Composition is the mother's maternity encounter.
date	Σ	1..1	dateTime	Date report completed
author	Σ	1..1	Reference(US Core Organization Profile)	The author is the jurisdictional Vital Records Office.
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	C	0..*	BackboneElement	The 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..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	C	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	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:motherPrenatal	C	0..1	BackboneElement	motherPrenatal Section on the Jurisdiction 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	Classification of section (recommended) 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		1..1	Reference(Patient - Mother Vital Records)	The focus of this section is the mother
text	C	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	C	0..*	Reference(Resource)	Entries that are contained in the motherPrenatal Section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	C	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	C	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:dateLastNormalMenses	C	0..1	Reference(Observation - Last Menstrual Period)	Date last normal menses began
entry:numberNowLiving	C	0..1	Reference(Observation - Number of Births Now Living)	Number of previous live births now living
entry:numberNowDead	C	0..1	Reference(Observation - Number of Births Now Dead)	Number of previous live births now dead
entry:dateLastLiveBirth	C	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:mothersHeight	C	0..1	Reference(Observation - Mother Height)	Mother's height
entry:mothersPrepregnancyWeight	C	0..1	Reference(Observation - Mother Prepregnancy Weight)	Mother's prepregnancy weight
entry:motherReceivedWICFood	C	0..1	Reference(Observation - Mother Recieved WIC Food)	Use
entry:cigaretteSmokingBeforeDuringPregnancy	C	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:medicalHealthInformation	C	0..1	BackboneElement	medicalHealthInformation Section on the Jurisdiction 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	Classification of section (recommended) 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		1..1	Reference(Patient - Mother Vital Records)	The focus of this section is the mother
text	C	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	C	0..*	Reference(Resource)	Entries that are contained in the medicalHealthInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	C	0..*	Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors)	Risk factors in this pregnancy
entry:numberPreviousCesareans	C	0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:fetalPresentation	C	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	C	0..1	Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	C	0..*	Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities)	Maternal morbidity (complications associated with labor and delivery)
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:fetus	C	0..1	BackboneElement	fetus Section on the Jurisdiction 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	Classification of section (recommended) 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: 76400-1
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	C	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	C	0..*	Reference(Resource)	Entries that are contained in the fetus Section Slice: Unordered, Open by profile:$this.resolve()
entry:deliveryWeight	C	0..1	Reference(Observation - Birth Weight)	Delivery weight
entry:gestationalAgeAtDelivery	C	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:methodOfDisposition	C	0..1	Reference(Observation - Method of Disposition)	Method of decedent fetus disposition
entry:causeOfFetalDeath	C	0..1	Reference(Condition - Fetal Death Cause or Condition)	Initiating cause or condition of fetal death
entry:otherCauseOfDeath	C	0..*	Reference(Condition - Fetal Death Other Cause or Condition)	Another significant cause or condition for the death of the fetus.
entry:estimatedTimeFetalDeath	C	0..1	Reference(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	C	0..1	Reference(Observation - Autopsy Performed Indicator Vital Records)	An indication if an autopsy has been performed on the subject.
entry:histologicalExamPerformed	C	0..1	Reference(Observation - Histological Placental Exam Performed)	Whether or not a histological placental examination was performed.
entry:autopsyOrHistologicalExamUsed	C	0..1	Reference(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:numberLiveBirthsThisDelivery	C	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:numberFetalDeathsThisDelivery	C	0..1	Reference(Observation - Number of Fetal Deaths This Delivery)	Number of fetal deaths this delivery
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:motherInformation	C	0..1	BackboneElement	motherInformation Section on the Jurisdiction 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	Classification of section (recommended) 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		1..1	Reference(Patient - Mother Vital Records)	The focus of this section is the mother
text	C	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	C	0..*	Reference(Resource)	Entries that are contained in the motherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:mothersEducation	C	0..1	Reference(Observation - Education Level Vital Records)	Mother's Education
entry:mothersUsualWork	C	0..1	Reference(Observation - Usual Work)	Mother's Usual Work
entry:mothersRaceEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Mother's Input Race and Ethnicity
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:fatherInformation	C	0..1	BackboneElement	Father Administrative Section on the 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	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		1..1	Reference(RelatedPerson - Father Natural Vital Records)	The focus of this section is the father
text	C	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	C	0..*	Reference(Resource)	Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:fathersUsualWork	C	0..1	Reference(Observation - Usual Work)	Father's Usual Work
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:emergingIssues	C	0..1	BackboneElement	emergingIssues Section on the Jurisdiction 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	Classification of section (recommended) 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://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
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	C	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	C	0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve()
entry:EmergingIssues	C	0..1	Reference(Observation - Emerging Issues Vital Records)	Emerging Issues
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 92010-8
Composition.category	example	DocumentClassValueSet
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.relatesTo.code	required	DocumentRelationshipType
Composition.event.code	example	ActCode
Composition.section.code	example	DocumentSectionCodes
Composition.section.mode	required	ListMode
Composition.section.orderedBy	preferred	ListOrderCodes
Composition.section.emptyReason	preferred	ListEmptyReasons
Composition.section:motherPrenatal.code	example	Pattern: LOINC code 57073-9
Composition.section:motherPrenatal.mode	required	ListMode
Composition.section:motherPrenatal.orderedBy	preferred	ListOrderCodes
Composition.section:motherPrenatal.emptyReason	preferred	ListEmptyReasons
Composition.section:medicalHealthInformation.code	example	Pattern: LOINC code 55752-0
Composition.section:medicalHealthInformation.mode	required	ListMode
Composition.section:medicalHealthInformation.orderedBy	preferred	ListOrderCodes
Composition.section:medicalHealthInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:fetus.code	example	Pattern: LOINC code 76400-1
Composition.section:fetus.mode	required	ListMode
Composition.section:fetus.orderedBy	preferred	ListOrderCodes
Composition.section:fetus.emptyReason	preferred	ListEmptyReasons
Composition.section:motherInformation.code	example	Pattern: LOINC code 92014-0
Composition.section:motherInformation.mode	required	ListMode
Composition.section:motherInformation.orderedBy	preferred	ListOrderCodes
Composition.section:motherInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:fatherInformation.code	example	Pattern: LOINC code 92013-2
Composition.section:fatherInformation.mode	required	ListMode
Composition.section:fatherInformation.orderedBy	preferred	ListOrderCodes
Composition.section:fatherInformation.emptyReason	preferred	ListEmptyReasons
Composition.section:emergingIssues.code	example	Pattern: emergingissues
Composition.section:emergingIssues.mode	required	ListMode
Composition.section:emergingIssues.orderedBy	preferred	ListOrderCodes
Composition.section:emergingIssues.emptyReason	preferred	ListEmptyReasons

This structure is derived from Composition

Summary

Mandatory: 3 elements (10 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient - Decedent Fetus (http://hl7.org/fhir/us/bfdr/StructureDefinition/Patient-decedent-fetus)
• Encounter - Maternity (http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• Patient - Mother Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr)
• Observation - Planned to Deliver at Home (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-planned-to-deliver-at-home)
• Observation - Date of First Prenatal Care Visit (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit)
• Observation - Last Menstrual Period (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-last-menstrual-period)
• Observation - Number of Births Now Living (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-living)
• Observation - Number of Births Now Dead (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-dead)
• Observation - Date of Last Live Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth)
• Observation - Mother Height (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-height)
• Observation - Mother Prepregnancy Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-prepregnancy-weight)
• Observation - Mother Recieved WIC Food (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-received-wic-food)
• Observation - Cigarette Smoking Before and During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy)
• Condition - Prepregnancy Diabetes (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-diabetes)
• Condition - Gestational Diabetes (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-diabetes)
• Condition - Prepregnancy Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-hypertension)
• Condition - Gestational Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-hypertension)
• Condition - Eclampsia Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-eclampsia-hypertension)
• Observation - Previous Preterm Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-previous-preterm-birth)
• Procedure - Infertility Treatment (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-infertility-treatment)
• Procedure - Artificial Insemination (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-artificial-insemination)
• Procedure - Assisted Fertilization (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-fertilization)
• Observation - Previous Cesarean (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-previous-cesarean)
• Observation - None Of Specified Pregnancy Risk Factors (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-pregnancy-risk-factors)
• Observation - Number of Previous Cesareans (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-previous-cesareans)
• Observation - Fetal Presentation at Birth/Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation)
• Procedure - Final Route and Method of Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery)
• Observation - Unknown Final Route and Method of Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-unknown-final-route-and-method-of-delivery)
• Procedure - Blood Transfusion (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-blood-transfusion)
• Condition - Perineal Laceration (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-perineal-laceration)
• Condition - Ruptured Uterus (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-ruptured-uterus)
• Procedure - Unplanned Hysterectomy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-unplanned-hysterectomy)
• Observation - ICU Admission (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-icu-admission)
• Observation - None Of Specified Maternal Morbidities (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-maternal-morbidities)
• Observation - Birth Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight)
• Observation - Gestational Age at Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-gestational-age-at-delivery)
• Observation - Method of Disposition (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-method-of-disposition)
• Condition - Fetal Death Cause or Condition (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-cause-or-condition)
• Condition - Fetal Death Other Cause or Condition (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-other-cause-or-condition)
• Observation - Fetal Death Time Point (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-death-time-point)
• Observation - Autopsy Performed Indicator Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-autopsy-performed-indicator-vr)
• Observation - Histological Placental Exam Performed (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-histological-placental-exam-performed)
• Observation - Autopsy or Histological Exam Results Used (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-autopsy-histological-exam-results-used)
• Observation - Number of Live Births This Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-live-births-this-delivery)
• Observation - Number of Fetal Deaths This Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-fetal-deaths-this-delivery)
• Observation - Education Level Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr)
• Observation - Usual Work (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-usual-work-vr)
• Observation - Input Race and Ethnicity Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr)
• RelatedPerson - Father Natural Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr)
• Observation - Emerging Issues Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar

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()