Birth And Fetal Death (BFDR) - STU2-ballot
2.0.0-ballot - ballot United States of America flag

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

Content Transitions

January 2024 Ballot of STU2

The STU2 versions of the BFDR and VRCL FHIR IGs are part of an effort to harmonize and reduce duplication among FHIR IGs for vital records and medico-legal investigation. As a result of this effort there has been a significant realignment of content among these FHIR IGs. The tables below show the provenance of all current content of the BFDR STU2 IG, as well as content that was previously included and has been moved, superceded, or obsoleted.







STU2 Bundles and Compositions

Name Previous Version/Location Comments/Updates
DemographicCodedContentBundleBFDR New New Addition
DemographicCodedCauseOfFetalDeathBundleBFDR New New Addition
BundleDocumentBFDR BFDR -
CompositionCodedCauseOfFetalDeathBFDR-
CompositionCodedRaceAndEthnicity BFDR-
CompositionJurisdictionFetalDeathReportBFDR emergingIssues section added
CompositionJurisdictionLiveBirthReportBFDR emergingIssues section added
CompositionProviderFetalDeathReportBFDR emergingIssues section added
CompositionProviderLiveBirthReportBFDR emergingIssues section added

STU2 Profiles

Name Previous Version/Location Comments/Updates
ConditionChorioamnionitis BFDR Added requiredCategory slice, see categories
ConditionCongenitalAnomalyOfNewborn BFDR -
ConditionEclampsiaHypertension VRCL Added requiredCategory slice, see categories
ConditionFetalDeathCauseOrCondition BFDR -
ConditionFetalDeathOtherCauseOrCondition BFDR -
ConditionGestationalDiabetes VRCL Added requiredCategory slice, see categories
ConditionGestationalHypertension VRCL Added requiredCategory slice, see categories
ConditionInfectionPresentDuringPregnancy BFDR -
ConditionPerinealLaceration BFDR Added requiredCategory slice, see categories
ConditionPrepregnancyDiabetes VRCL Added requiredCategory slice, see categories
ConditionPrepregnancyHypertension VRCL Added requiredCategory slice, see categories
ConditionRupturedUterus BFDR Added requiredCategory slice, see categories
ConditionSeizure BFDR Added requiredCategory slice, see categories
CoveragePrincipalPayerDelivery BFDR -
EncounterMaternity BFDR -
EncounterBirth BFDR -
ObservationAntibioticsAdministeredDuringLabor BFDR -
ObservationApgarScore VRCL -
ObservationAutopsyHistologicalExamResultsUsed BFDR -
ObservationBirthPluralityOfPregnancy VRCL Changed name to better reflect LOINC code description. This profile was accidentally left out of the STU2 ballot, but will be included for publication. It is not used by the birth and fetal death use cases, but is provided for general utility.
ObservationBirthWeight VRCL Now includes birthWeight bypassEditFlag
ObservationCigaretteSmokingBeforeDuringPregnancy BFDR Focus generalized to Patient
ObservationCodedInitiatingFetalDeathCauseOrCondition BFDR Changed from Condition to Observation
ObservationCodedOtherFetalDeathCauseOrCondition BFDR Changed from Condition to Observation. Added component:position to represent order of fetal death cause or condition codes
ObservationDateOfFirstPrenatalCareVisit BFDR -
ObservationDateOfLastLiveBirth BFDR -
ObservationDateOfLastOtherPregnancyOutcome BFDR -
ObservationFetalDeathTimePoint BFDR -
ObservationFetalPresentation BFDR -
ObservationGestationalAgeAtDelivery VRCL Now includes estimateOfGestation bypassEditFlag
ObservationHistologicalPlacentalExamPerformed BFDR -
ObservationICUAdmission BFDR -
ObservationInfantBreastfedAtDischarge BFDR -
ObservationInfantLiving VRCL -
ObservationLaborTrialAttempted BFDR -
ObservationLastMenstrualPeriod VRCL -
ObservationMethodOfDisposition BFDR -
ObservationMotherDeliveryWeight VRCL Now includes pregnancyReport bypassEditFlag
ObservationMotherHeight VRCL Now includes pregnancyReport bypassEditFlag. Base profile changed to use USCoreBodyHeight
ObservationMotherMarriedDuringPregnancy BFDR -
ObservationMotherPrepregnancyWeight VRCL Now includes pregnancyReport bypassEditFlag
ObservationMotherReceivedWICFood BFDR -
ObservationNICUAdmission BFDR snomed code change from 405269005 Neonatal intensive care unit to 830077005 Admission to neonatal intensive care unit
ObservationNoneOfSpecifiedAbnormalConditionsOfNewborn BFDR See categories
ObservationNoneOfSpecifiedCharacteristicsOfLaborAndDelivery BFDR See categories
ObservationNoneOfSpecifiedCongenitalAnomoliesOfTheNewborn New New Addition, see categories
ObservationNoneOfSpecifiedInfectionsPresentDuringPregnancy New New Addition, see categories
ObservationNoneOfSpecifiedMaternalMorbidities BFDR See categories
ObservationNoneOfSpecifiedObstetricProcedures New New Addition, see categories
ObservationNoneOfSpecifiedPregnancyRiskFactors VRCL See categories
ObservationNumberBirthsNowDead VRCL -
ObservationNumberBirthsNowLiving VRCL -
ObservationNumberFetalDeathsThisDelivery VRCL -
ObservationNumberLiveBirthsThisDelivery VRCL -
ObservationNumberOtherPregnancyOutcomes VRCL -
ObservationNumberPrenatalVisits VRCL Now includes pregnancyReport bypassEditFlag
ObservationNumberPreviousCesareans VRCL Now includes numberPreviousCeseareans bypassEditFlag
ObservationPaternityAcknowledgementSigned BFDR -
ObservationPlannedToDeliverAtHome BFDR -
ObservationPreviousCesarean VRCL -
ObservationPreviousPretermBirth VRCL -
ObservationSSNRequestedForChild BFDR -
ObservationSteroidsFetalLungMaturation BFDR -
ObservationUnknownFinalRouteMethodDelivery New New Addition, see categories
PatientDecedentFetus VRCL Now includes multipleBirth bypassEditFlag and multipleBirthTotal extension which replaces ObservationPluralityVitalRecords
ProcedureAntibioticSuspectedNeonatalSepsis BFDR Added LOINC category value, see categories
ProcedureArtificialInsemination VRCL Added LOINC category value, see categories
ProcedureAssistedVentilationFollowingDelivery BFDR Added LOINC category value, see categories
ProcedureAssistedVentilationMoreThanSixHours BFDR Added LOINC category value, see categories
ProcedureAugmentationOfLabor BFDR Added LOINC category value, see categories
ProcedureBloodTransfusion BFDR Added LOINC category value, see categories
ProcedureEpiduralOrSpinalAnesthesia BFDR Added LOINC category value, see categories
ProcedureFinalRouteMethodDelivery BFDR Added LOINC category value, see categories
ProcedureInductionOfLabor BFDR Added LOINC category value, see categories
ProcedureInfertilityTreatment VRCL Added LOINC category value, see categories
ProcedureObstetric BFDR Added LOINC category value, see categories. Outcome constrained to new valueset that contains subset of ProcedureOutcomeCodes(SNOMEDCT)
ProcedureSurfactantReplacementTherapy BFDR Added LOINC category value, see categories
ProcedureUnplannedHysterectomy BFDR Added LOINC category value, see categories

STU2 Extensions

Name Previous Version/Location Comments/Updates
AuxiliaryStateIdentifier1 New New Addition
AuxiliaryStateIdentifier2 New New Addition
CertificateNumber New New Addition
ExtensionDateFiledByRegistrarBFDR -
ExtensionDateReceivedByRegistrarBFDR -
ExtensionEncounterMaternityReference BFDR -
ExtensionFetalDeathLocalFileNumber BFDR -
ExtensionFetalDeathReportNumber BFDR -
ExtensionLiveBirthCertificateNumber BFDR -
ExtensionLiveBirthLocalFileNumber BFDR -

STU2 Valuesets

Name Previous Version/Location Comments/Updates
ApgarTimingVS VRCL -
BirthAndFetalDeathFinancialClassVS PHINVADS -
BirthAttendantTitlesVS PHINVADS -
BirthDeliveryOccurredVS PHINVADS -
BirthWeightEditFlagsVS PHINVADS -
CigaretteSmokingBeforeAndDuringPregnancyVS BFDR -
DeliveryRoutesVS PHINVADS -
EstimateOfGestationEditFlagsVS PHINVADS -
FathersDateOfBirthEditFlagsVS PHINVADS -
FetalDeathCauseOrConditionVS PHINVADS -
FetalDeathTimePointsVS PHINVADS -
FetalPresentationsVS PHINVADS -
HistologicalPlacentalExaminationVS PHINVADS -
InfectionsDuringPregnancyLiveBirthVS PHINVADS -
InformantRelationshipToMotherVS PHINVADS -
MethodOfDispositionVS PHINVADS -
MothersDateOfBirthEditFlagsVS PHINVADS -
NewbornCongenitalAnomaliesVS PHINVADS -
NumberPreviousCesareansEditFlagsVS PHINVADS -
ObstetricProcedureVS PHINVADS -
ValueSetObstetricProcedureOutcome New New Addition, contains subset of ProcedureOutcomeCodes(SNOMEDCT), indicating whether procedure was 'Successful' or 'Unsuccessful'
PluralityEditFlagsVS PHINVADS -
PregnancyReportEditFlagsVS PHINVADS Used in bypassEditFlag extension for ObservationMotherHeight, ObservationMotherDeliveryWeight, ObservationMotherPrepregnancyWeight, ObservationNumberPrenatalVisits

STU2 Codesystems

Name Previous Version/Location Comments/Updates
AbnormalConditionsNewbornCS New New Addition
BirthAndFetalDeathFinancialClassCS New New Addition
BirthDeliveryOccurredCS New New Addition
FetalDeathCauseOrConditionCS New New Addition
InformantRelationshipToMotherCS New New Addition

Removed Profiles

Name Current Version/Location Comments/Updates
ObservationEditFlagBirthWeight Deleted bypassEditFlag extension added to ObservationBirthWeight
ObservationEditFlagEstimateOfGestation Deleted bypassEditFlag extension added to ObservationGestationalAgeAtDelivery
ObservationEditFlagFathersDateOfBirth Deleted bypassEditFlag extension added to RelatedPersonFatherVitalRecords
ObservationEditFlagFathersEducation Deleted bypassEditFlag extension added to ObservationEducationLevelVitalRecords
ObservationEditFlagMothersDateOfBirth Deleted bypassEditFlag extension added to PatientMotherVitalRecords
ObservationEditFlagMothersDeliveryWeight Deleted bypassEditFlag extension added to ObservationMotherDeliveryWeight
ObservationEditFlagMothersEducation Deleted bypassEditFlag extension added to ObservationEducationLevelVitalRecords
ObservationEditFlagMothersHeight Deleted bypassEditFlag extension added to ObservationMotherHeight
ObservationEditFlagMothersPrepregnancyWeight Deleted bypassEditFlag extension added to ObservationMotherPrepregnancyWeight
ObservationEditFlagNumberPrenatalCareVisits Deleted bypassEditFlag extension added to ObservationNumberPrenatalVisits
ObservationEditFlagNumberPreviousCesareans Deleted bypassEditFlag extension added to ObservationNumberPreviousCesareans
ObservationEditFlagPlurality Deleted bypassEditFlag extension added to PatientChildVitalRecords

Removed Extensions

Name Current Version/Location Comments/Updates
ExtensionReplacementStatus Deleted Deprecated

Removed Valuesets

Name Current Version/Location Comments/Updates
ValueSetReplacementStatus Deleted Deprecated
ValueSetYesNoNotApplicableVRCL Moved to VRCL

Removed Codesystems

Name Current Version/Location Comments/Updates
CodeSystemReplacement Deleted Deprecated