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

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

This bundle profile contains instances of the resources comprising demographic (race and ethnicity) coded content. This bundle is information-content equivalent to the traditional NCHS MRE/NRE format.

This bundle profile contains instances of the resources comprising cause of fetal death coded content.

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

This Composition profile defines constraints to address the use case in which information for live birth information is recorded and communicated to the jurisdictional Vital Records Office.

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.

This Composition profile contains information of a live birth and the issuance of a Birth Certificate to be recorded and communicated to the national statistics agency.

This profile communicates coded cause of fetal death information to appropriate jurisdictional Vital Records Offices.

This Composition profile communicates coded race and ethnicity information to the appropriate jurisdictional Vital Records Office, along with the submitted input race and ethnicity information.

This Encounter profile represents the child’s birth encounter.

This Encounter profile represents the mother’s maternity encounter.

This Extension profile is a reference to the maternity encounter.

APGAR score post-birth. Migrated from VRCL.

The weight of the infant/fetus at birth/delivery. Migrated from VRCL.

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

The obstetric estimate of the infant’s gestation in completed weeks based on the birth/delivery attendant’s final estimate of gestation which should be determined by all perinatal factors and assessments such as ultrasound, but not the neonatal exam. Migrated from VRCL.

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

An indication of whether the infant is living at the time the report is being submitted. Migrated from VRCL.

The weight of the mother at the time of birth/delivery. Migrated from VRCL.

The number of fetal deaths in this delivery. Migrated from VRCL.

The number of live births in this delivery. Migrated from VRCL.

This Condition profile indicates the newborn had an abnormal condition of seizure.

This profile indicates that the abnormal condition of an admission to the NICU was present. NOTE: this may be better modeled as an Encounter.

This profile represents an abnormal condition of antibiotic given for suspected neonatal sepsis.

This profile represents an abnormal condition of the newborn of assisted ventilation immediately following delivery.

This profile represents an abnormal condition of the newborn of assisted ventilation for more than six hours.

This profile represents an abnormal condition of the newborn of surfactant replacement therapy.

This profile indicates that none of the specified abnormal conditions of the newborn were present.

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

This profile indicates that none of the specified congenital anomolies of the newborn were present.

This Condition profile indicates a labor and delivery characteristic of chorioamnionitis.

This Observation profile indicates a characteristic of labor of antibiotics administered during labor.

This Observation profile indicates a characteristic of labor of administration of steroids for fetal lung maturation.

This Procedure profile indicates a characteristic of labor of augmentation of labor.

This Procedure profile indicates a characteristic of labor of epidural or spinal anesthesia.

This Procedure profile indicates a characteristic of labor of induction of labor.

This profile indicates that none of the specified characteristics of labor and delivery were present.

This Coverage profile represents the principal payer for this delivery.

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

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

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

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

This profile represents the date of the last menstrual period of the patient. The first day of last menstrual period should be captured. The effectiveTime captures the observation date. Migrated from VRCL.

The height of the mother. Migrated from VRCL.

The weight of the mother before becoming pregnant. Migrated from VRCL.

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

The total number of previous live-born infants for the mother now dead. Migrated from VRCL.

The total number of previous live-born infants for the mother now living. Migrated from VRCL.

The total number of other pregnancy outcomes for the mother that did not result in a live birth (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies). Migrated from VRCL.

The total number of prenatal visits for the mother. The dates of the first and last prenatal visit are indicated by the effective date range. If the mother received no prenatal care, the value should indicate 0 visits. Migrated from VRCL.

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

This Condition profile represents infections present and/or treated during the pregnancy.

This profile indicates that none of the specified infections during pregnancy were present.

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

The total number of prior cesarean deliveries for the mother. Migrated from VRCL.

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

This profile indicates that none of the specified obstetric procedures were present.

This profile represents the final route and method of delivery.

Unknown Final route and method of delivery as defined by the US Standard Certificate of Live Birth (2003) and US Standard Fetal Death Report (2003). If delivery is cesarean, trial of labor is also recorded.

This Condition profile indicates that the mother had a pregnancy risk factor of eclampsia hypertension.

This Condition profile indicates that the mother had a pregnancy risk factor of gestational diabetes.

This Condition profile indicates that the mother had a pregnancy risk factor of gestational hypertension.

This Condition profile indicates that the mother had a pregnancy risk factor of prepregnancy diabetes.

This Condition profile indicates that the mother had a pregnancy risk factor of prepregnancy hypertension.

This profile indicates that the mother had a pregnancy risk factor of previous cesarean.

This Observation profile indicates that the mother had a pregnancy risk factor of previous preterm birth.

This Procedure profile records that a pregnancy risk factor of artificial insemination was provided to the mother.

This Procedure profile records that a pregnancy risk factor of assisted fertilization was provided to the mother.

This Procedure profile records that a pregnancy risk factor of infertility treatment was provided to the mother.

This profile indicates that none of the specified pregnancy risk factors specifiable in this IG (73775-9) are present.

This Condition profile indicates a maternal morbidity of perineal laceration.

This Condition profile indicates a maternal morbidity of ruptured uterus.

This profile indicates that the maternal morbidity of an admission to the ICU was present. NOTE: this may be better modeled as an Encounter.

This Procedure profile indicates a maternal morbidity of a blood transfusion.

This Procedure profile indicates a maternal morbidity of unplanned hysterectomy.

This profile indicates that none of the specified maternal morbidities were present.

This Condition profile contains information provided by the clinician to indicate the cause or causes of the fetal death.

This Condition profile represents another significant cause or condition for the death of the fetus.

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

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

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

This Observation profile represents the estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.

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

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

A stillborn for whom clinical data is included in the report.

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

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

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

An identifier associated by the submitting jurisdiction with a specific death certificate number. Twelve digit number.

An identifier associated by the submitting jurisdiction with a specific death certificate number. Twelve digit number.

Death certificate number. Six digit number. Leading zeroes are optional.

Date filed by registrar.

Date received by registrar.

Fetal death local file number - this represents “Local File No.” on the US Standard Report of Fetal Death.

Fetal death report number - this represents “State File Number” on the US Standard Report of Fetal Death.

Live birth certificate number - this represents “Birth Number” on the US Standard Certificate of Live Birth.

Live birth local file number - this represents “Local File No.” on the US Standard Certificate of Live Birth.

This code system contains PHC codes for use in abnormal conditions of newborn.

This code system contains codes local codes from PHINVADs Source of Payment Typology (PHDSC) valueset

This code system contains local codes from PHINVADs valueset for place where birth or delivery occurred

This code system contains local codes from PHINVADs valueset for fetal death cause or condition

This code system contains local codes from PHINVADs Informant Relationship to Mother valueset

This valueset contains codes to represent standard timings for APGAR assessments.

This valueset contains codes to represent birth and fetal death financial class. This valueset is based on PHVS_BirthAndFetalDeathFinancialClass_NCHS.

This valueset contains codes to represent the type of birth attendant titles. This valueset is based on PHVS_BirthAttendantTitles_NCHS

This valueset contains codes to represent the type of place where birth or delivery occurred. This valueset is based on PHVS_BirthDeliveryOccurred_NCHS

This valueset contains codes to represent Birth Weight Edit Flags. This valueset is based on PHVS_BirthWeightEditFlags_NCHS

This valueset contains codes to represent the number of cigarettes smoked in specific periods before and during pregnancy.

This valueset contains codes to represent Delivery Routes. This valueset is based on PHVS_DeliveryRoutes_NCHS

This valueset contains codes to represent Estimate of Gestation Edit Flags. This valueset is based on PHVS_EstimateOfGestationEditFlags_NCHS

This valueset contains codes to represent Fathers Date of Birth Edit Flags. This valueset is based on PHVS_BirthdateEditFlags_NCHS

This valueset contains codes to represent fetal death cause or condition. This valueset is based on PHVS_FetalDeathCauseOrCondition_NCHS.

This valueset contains codes to represent fetal death time points. This valueset is based on PHVS_FetalDeathTimePoints_NCHS

This valueset contains codes to represent fetal presentations. This valueset is based on PHVS_FetalPresentations_NCHS

This valueset contains codes to represent histological placental examinations. This valueset is based on PHVS_HistologicalPlacentalExamination_NCHS

This valueset contains codes to represent Infections During Pregnancy Live Birth. This valueset is based on PHVS_InfectionsDuringPregnancyLiveBirth_NCHS

This valueset contains codes to represent informants relationship to mother. This valueset is based on PHVS_InformantRelationshiptoMother_NCHS.

This valueset contains codes to represent Fetal Remains Method of Disposition. This valueset is based on PHVS_FetalRemainsDispositionMethod_NCHS

This valueset contains codes to represent Mothers Date of Birth Edit Flags. This valueset is based on PHVS_BirthdateEditFlags_NCHS

The valueset contains codes to represent newborn congenital anomalies. This valueset is based on PHVS_NewbornCongenitalAnomalies_NCHS

This valueset contains codes to represent Number of Previous Cesareans Edit Flags. This valueset is based on PHVS_NumberOfPreviousCesareansEditFlags_NCHS

This valueset contains codes to represent obstetric procedures. This valueset is based on PHVS_ObstetricProcedures_NCHS

This valueset contains codes to represent Plurality Edit Flags. This valueset is based on PHVS_PluralityEditFlags_NCHS

This valueset contains codes to represent Pregnancy Report Edit Flags. This valueset is based on PHVS_PregnancyReportEditFlags_NCHS. Used for MothersHeight, MothersDeliveryWeight, MothersPrepregnancyWeight, NumberPrenatalCareVisits

This valueset contains codes that represent the successful or unsuccessful outcome of an obstretric procedure

A mapping between NCHS IJE and FHIR BirthAndFetalDeathFinancialClass Value Sets

A mapping between NCHS IJE and FHIR BirthAttendantTitles Value Sets

A mapping between NCHS IJE and FHIR BirthDeliveryOccurred Value Sets

A mapping between NCHS IJE and FHIR DeliveryRoutes Value Sets

A mapping between NCHS IJE and FHIR FetalDeathCauseOrCondition Value Sets

A mapping between NCHS IJE and FHIR FetalDeathTimePoints Value Sets

A mapping between NCHS IJE and FHIR FetalPresentation Value Sets

A mapping between NCHS IJE and FHIR HistologicalPlacentalExamination Value Sets

A mapping between NCHS IJE and FHIR InfectionsDuringPregnancyLiveBirth Value Sets

A mapping between NCHS IJE and FHIR NewbornCongenitalAnomalies Value Sets

USA SNOMED-CT

Bundle - Coded Cause of Fetal Death - not named

Bundle - Jurisdiction Fetal Death Report: Fetus Not Named example

Bundle - Provider Fetal Death Report: Fetus Not Named example

Composition Jurisdiction Fetal Death Report: Fetus Not Named example

Composition - Coded Cause of Fetal Death: Fetus Not Named example

Composition - Provider Fetal Death Report: Fetus Not Named

Condition - Fetal Death Cause or Condition: Fetus Not Named example

Condition - Fetal Death Other Cause or Condition: Fetus Not Named example

Condition - Gestational Diabetes: Carmen Teresa Lee example

Encounter - Maternity: Carmen Teresa Lee example

Observation - Autopsy or Histological Exam Results Used: Fetus Note Named example

Observation - Autopsy Performed: Fetus Not Named example

Observation - Birth Weight: Fetus Not Named example

Observation - Birth Weight: Fetus Not Named example, with Edit Flag

Observation - Cigarette Smoking Before During Pregnancy - 3 months prior: Carmen Teresa Lee example

Observation - Cigarette Smoking Before During Pregnancy - first 3 months: Carmen Teresa Lee example

Observation - Cigarette Smoking Before During Pregnancy example - second 3 months: Carmen Teresa Lee example

Observation - Cigarette Smoking Before During Pregnancy - last 3 months: Carmen Teresa Lee example

Observation - Coded Initiating Cause of Fetal Death example

Observation - Coded Other Cause of Fetal Death example

Observation - Date of First Prenatal Care Visit: Carmen Teresa Lee example

Observation - Date of Last Live Birth: Carmen Teresa Lee example

Observation - Observation Estimated Fetal Death Time Point: Fetus Not Named example

Observation - Fetal Presentation: Fetus Not Named example

Observation - Gestational Age at Delivery: Fetus Not Named example

Observation - Gestational Age at Delivery: Fetus Not Named example, with Edit Flag

Observation - Histological Placental Exam Performed: Fetus Not Named example

Example of input-race-and-ethnicity-vr profile (carmen-teresa-lee)

Observation - Last Menstrual Period: Carmen Teresa Lee example

Observation - Method of Disposition: Fetus Not Named example

Observation - Mother Height: Carmen Teresa Lee example

Observation - Mother Height: Carmen Teresa Lee example, with Edit Flag

Observation - Mother Prepregnancy Weight: Carmen Teresa Lee example

Observation - Mother Prepregnancy Weight: Carmen Teresa Lee example, with Edit Flag

Observation - Mother Received WIC Food: Carmen Teresa Lee example

Observation - Number of Births Now Dead: Carmen Teresa Lee example

Observation - Number of Fetal Deaths This Delivery: Carmen Teresa Lee example

Observation - Number Live Births This Delivery: Carmen Teresa Lee example

Observation - Number of Births Now Living: Carmen Teresa Lee example

Observations - Number Previous Cesareans: Carmen Teresa Lee example

Observations - Number Previous Cesareans: Carmen Teresa Lee example, with Edit Flag

Observation - Parent Education Level: Carmen Teresa Lee example

Observation - Parent Education Level: Carmen Teresa Lee example, with Edit Flag

Observation - Mother Usual Work: Carmen Teresa Lee example

Observation - Father Usual Work: Tom Yan Lee example

Procedure - Final Route / Method of Delivery: Fetus Not Named example

Example of Patient-decedent-fetus profile (Fetus Not Named)

Example of Patient-decedent-fetus-vr profile (Fetus Not Named) with Edit Flag

Example of Patient-mother-vr profile (Carmen Teresa Lee)

Example of Patient-mother-vr profile (Carmen Teresa Lee), with Edit Flag

This Questionnaire represents the Patient’s Worksheet for the Report of Fetal Death.

QuestionnaireResponse - Patient’s Fetal Death Worksheet: Carmen Lee

RelatedPerson - Father Natural - Vital Records - Tom Yan Lee example

RelatedPerson - Father Natural - Vital Records - Tom Yan Lee example, with Edit Flag

RelatedPerson - Mother Gestational - Vital Records - Carmen Teresa Lee example

Bundle - Coded Race and Ethnicity - example Baby G Quinn

Bundle - Jurisdiction Live Birth Report: Baby G Quinn example

Bundle - Provider Live Birth: Baby G Quinn example

Composition - Coded Race and Ethnicity: Baby G Quinn example

Composition - Jurisdiction Live Birth Report: BabyG Quinn example

Composition - Provider Live Birth Report: BabyG Quinn example

Condition - Chorioamnionitis: Jada Ann Quinn example

Condition - Congenital Anomaly of Newborn: BabyG Quinn example

Condition - Congenital Anomaly of Newborn: Baby G Quinn example

Condition - Eclampsia Hypertension: Jada Ann Quinn example

Condition - Gestational Diabetes: Jada Ann Quinn example

Condition - Gestational Hypertension: Jada Ann Quinn example

Condition - Infection Present During Pregnancy: Jada Ann Quinn example

Condition - Perineal Laceration: Jada Ann Quinn example

Condition - Prepregnancy Diabetes: Jada Ann Quinn example

Condition - Prepregnancy Hypertension: Carmen Teresa Lee example

Condition - Prepregnancy Hypertension: Jada Ann Quinn example

Condition - Ruptured Uterus: Jada Ann Quinn example

Condition - Seizure: BabyG Quinn example

Coverage - Principal Payer for Delivery: Jada Ann Quinn example

Encounter - Birth: Baby G Quinn example

Encounter - Maternity: Jada Ann Quinn example

Observation - Antibiotics Administered During Labor: Jada Ann Quinn example

Observation - Apgar Score: BabyG Quinn: 1 min example

Observation - Apgar Score: BabyG Quinn: 5 min example

Observation - Birth Weight: Baby G Quinn example

Observation - Birth Weight: Baby G Quinn example, with Edit Flag

Observation - Cigarette Smoking Before/During Pregnancy: Jada Ann Quinn: 3 months prior example

Observation - Cigarette Smoking Before/During Pregnancy: Jada Ann Quinn: first 3 months example

Observation - Cigarette Smoking Before/During Pregnancy: Jada Ann Quinn: second 3 months example

Observation - Cigarette Smoking Before/During Pregnancy: Jada Ann Quinn: last 3 months example

Observation - Date of First Prenatal Care Visit: Jada Ann Quinn example

Observation - Date of Last Live Birth: Jada Ann Quinn example

Observation - Date of Last Other Pregnancy Outcome: Jada Ann Quinn example

Observation - Fetal Presentation Baby G Quinn

Example of input-race-and-ethnicity-vr profile (jada-ann-quinn)

Example of input-race-and-ethnicity-vr profile (James Quinn)

Example of input-race-and-ethnicity-vr profile (James Quinn with edit)

Observation - Last Menstrual Period: Jada Ann Quinn example

Observation - Mother Delivery Weight: Jada Ann Quinn example

Observation - Mother Delivery Weight: Jada Ann Quinn example, with Edit Flag

Observation - Mother Height: Jada Ann Quinn example

Observation - Mother Height: Jada Ann Quinn example, with Edit Flag

Observation - None Of Specified Infections During Pregnancy: Jada Ann Quinn example

Observation - None Of Specified Obstetric Procedures: Jada Ann Quinn example

Observation - Paternity Acknowledgement Signed: James Quinn example

Observation - Paternity Acknowledgement Signed: James Quinn example

Observation - Mother Usual Work: Jada Ann Quinn example

Observation - Father Usual Work: James Brandon Quinn example

Procedure - Final Route and Method of Delivery: Baby G Quinn example

Observation - Gestational Age at Delivery: Baby G Quinn example

Observation - Gestational Age at Delivery: Baby G Quinn example, with Edit Flag

Observation - ICU Admission: Jada Ann Quinn example

Observation - Infant Breastfed at Discharge: BabyG Quinn

Observation - Infant Living: BabyG Quinn example

Observation - Labor Trial Attempted: Baby G Quinn example

Observation - Mother Married During Pregnancy: Jada Ann Quinn example

Observation - Mother Prepregnancy Weight: Jada Ann Quinn example

Observation - Mother Prepregnancy Weight: Jada Ann Quinn example, with Edit Flag

Observation - Mother Received WIC Food: Jada Ann Quinn example

Observation - NICU Admission: BabyG Quinn example

Observation - None Of Specified Abnormal Conditions of Newborn: BabyG Quinn example

Observation - None Of Specified Characteristics of Labor and Delivery: Jada Ann Quinn example

Observation - None Of Specified Maternal Morbidities: Jada Ann Quinn example

Observation - Previous Cesarean: Jada Ann Quinn example

Observation - Number Births Now Dead: Jada Ann Quinn example

Observation - Number Births Now Living: Jada Ann Quinn example

Observation - Number Live Births This Delivery: Jada Ann Quinn example

Observation - Number Other Pregnancy Outcomes: Jada Ann Quinn example

Observation - Number Prenatal Visits: Jada Ann Quinn example

Observation - Number Prenatal Visits: Jada Ann Quinn example, with Edit Flag

Observation - Number Previous Cesareans: Jada Ann Quinn example

Observation - Number Previous Cesareans: Jada Ann Quinn example, with Edit Flag

Observation - Parent Education Level: Jada Ann Quinn example

Observation - Parent Education Level: Jada Ann Quinn example, with Edit Flag

Observation - Parent Education Level: James Quinn example

Observation - Parent Education Level: James Quinn example, with Edit Flag

Observation - Parent Education Level: Tom Yan Lee example

Observation - Parent Education Level: Tom Yan Lee example, with Edit Flag

Observation - Planned to Deliver at Home: Baby G Quinn example

Observation - Planned to Delivery at Home: Fetus Not Named example

Observation - Previous Cesarean: Jada Ann Quinn example

Observation - Previous Preterm Births: Jada Ann Quinn example

Observation - SSN Requested for Child: BabyG Quinn example

Observation - Administration of Steroids for Fetal Lung Maturation: Jada Ann Quinn example

Observation - Unknown Final Route Method of Delivery: Jada Ann Quinn example

Example of Patient-child-vr profile (Baby G Quinn)

Example of Patient-child-vr profile (Baby G Quinn), with Edit Flag

Example of Patient-mother-vr profile (Date Part Absent)

Example of Patient-mother-vr profile (Jada Ann Quinn)

Example of Patient-mother-vr profile (Jada Ann Quinn), with Edit Flag

Procedure - Antibiotic for Suspected Neonatal Sepsis: BabyG Quinn example

Procedure - Artificial Insemniation: Jada Ann Quinn example

Procedure - Assisted Fertilization: Jada Ann Quinn example

Procedure - Augmentation of Labor: Jada Ann Quinn example

Procedure - Blood Transfusion: Jada Ann Quinn example

Procedure - Epidural or Spinal Anesthesia: Jada Ann Quinn example

Procedure - Induction of Labor: Jada Ann Quinn example

Procedure - Infertility Treatment: Jada Ann Quinn example

Procedure - Obstetric Procedure: Jada Ann Quinn example

Procedure - Surfactant Replacement: BabyG Quinn example

Procedure Unplanned Hysterectomy: Jada Ann Quinn example

Procedure - Assisted Ventilation Following Delivery: BabyG Quinn example

Procedure - Assisted Ventilation More Than Six Hours: BabyG Quinn example

This Questionnaire represents the Mother’s Worksheet for Child’s Birth Certificate.

Questionnaire - Mother’s Worksheet for Child’s Birth Certificate: Jada Ann Quinn

RelatedPerson - Father Natural - Vital Records: James Brandon Quinn example

RelatedPerson - Father Natural - Vital Records: James Brandon Quinn example, with Edit Flag

RelatedPerson - Mother Gestational - Vital Records - Jada Ann Quinn example

US Core Location: East Hospital example

US Core Location: North Hospital example

US Core Location: South Hospital example

Example of coded-race-and-ethnicity-vr profile (Father)

Example of coded-race-and-ethnicity-vr profile (Mother)

Example of input-race-and-ethnicity-vr profile (Father)

Example of input-race-and-ethnicity-vr profile (Mother)

Observation - None Of Specified Congenital Anomolies of Newborn: BabyG Quinn example

US Core Organization: Jurisdictional Vital Records Office example

US Core Organization: National Center for Health Statistics [NCHS] example

US Core Organization: South Hospital example

Practitioner - Vital Records: Avery Jones, MD example

Practitioner - Vital Records: Janet Seito example

Practitioner - Vital Records: Jessica Leung example