This page is part of the Vital Records Birth and Fetal Death Reporting (v1.1.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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• Detailed Descriptions
• Mappings
• Examples

Resource Profile: Composition - Jurisdiction Live Birth Report

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.

Usage:

• Use this Resource Profile: Bundle - Document Birth and Fetal Death
• Examples for this Resource Profile: Composition/composition-jurisdiction-live-birth-babyg-quinn

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		0..*	Composition	Jurisdiction Live Birth Report
Slices for extension	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
liveBirthCertificateNumber	S	1..1	Identifier	Birth Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber	S	0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar	S	1..1	dateTime	Date filed by registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
replacementStatus	S	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
status	S	1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set.
type	S	1..1	CodeableConcept	Jurisdiction live birth 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: 92011-6
subject	S	1..1	Reference(Patient - Child - Vital Records)	The subject of the composition is the newborn baby
encounter	S	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
date	S	1..1	dateTime	Date report completed
author	S	1..1	Reference(US Core Organization Profile)	The author is the jurisdictional Vital Records Office.
Slices for section	S	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:motherPrenatal	S	0..1	BackboneElement	Mother (prenatal) section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Prenatal records Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57073-9
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	S	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	S	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:numberPrenatalCareVisits	S	0..1	Reference(Observation - Number of Prenatal Visits - Vital Records)	Number of prenatal care visits
entry:dateLastNormalMenses	S	0..1	Reference(Observation - Last Menstrual Period - Vital Records)	Date last normal menses began
entry:numberNowLiving	S	0..1	Reference(Observation - Number of Births Now Living - Vital Records)	Number of previous live births now living
entry:numberNowDead	S	0..1	Reference(Observation - Number of Births Now Dead - Vital Records)	Number of previous live births now dead
entry:dateLastLiveBirth	S	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:numberOtherOutcomes	S	0..1	Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	S	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	S	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	S	0..1	Reference(Observation - Mother Delivery Weight - Vital Records)	Mother's weight at delivery
entry:mothersHeight	S	0..1	Reference(Observation - Mother Height - Vital Records)	Mother's height
entry:mothersPrepregnancyWeight	S	0..1	Reference(Observation - Mother Prepregnancy Weight - Vital Records)	Mother's prepregnancy weight
entry:motherReceivedWICFood	S	0..1	Reference(Observation - Mother Recieved WIC Food)	Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy	S	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation	S	0..1	BackboneElement	Medical and Health Information section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Clinical information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	S	0..*	Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records)	Risk factors in this pregnancy
entry:numberPreviousCesareans	S	0..1	Reference(Observation - Number of Previous Cesareans - Vital Records)	If mother had a previous cesarean delivery, how many
entry:infectionsDuringPregnancy	S	0..*	Reference(Condition - Infection Present During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	S	1..1	Reference(Procedure - Obstetric)	Obstetric procedures
entry:characteristicsLaborDelivery	S	0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
entry:fetalPresentation	S	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	S	0..1	Reference(Procedure - Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	S	0..*	Reference(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:newbornInformation	S	0..1	BackboneElement	Newborn section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Newborn delivery information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	S	0..1	Reference(Observation - Birth Weight - Vital Records)	Birthweight
entry:gestationalAgeAtDelivery	S	0..1	Reference(Observation - Gestational Age at Delivery - Vital Records)	Obstetric estimate of gestation
entry:ApgarScore	S	0..2	Reference(Observation - Apgar Score - Vital Records)	Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery	S	0..1	Reference(Observation - Number of Live Births This Delivery - Vital Records)	Number of live births this delivery
entry:abnormalConditionsNewborn	S	0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	S	0..*	Reference(Condition - Congenital Anomaly of Newborn)	Congenital anomolies of the newborn
entry:infantLiving	S	0..1	Reference(Observation - Infant Living - Vital Records)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	S	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
section:motherInformation	S	0..1	BackboneElement	Mother administrative section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Mother's administrative information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92014-0
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the motherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:marriedDuringPregnancy	S	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	S	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
entry:mothersEducation	S	0..1	Reference(Observation - Parent Education Level - Vital Records)	Mother's education
section:fatherInformation	S	0..1	BackboneElement	Father section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Father's administrative information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
focus	S	1..1	Reference(RelatedPerson - Father Natural - Vital Records)	The focus of this section is the father
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:paternityAcknowledgementSigned	S	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	S	0..1	Reference(Observation - Parent Education Level - Vital Records)	Father's education
section:EditFlags	S	1..1	BackboneElement	Edit Flags Section
code	S	1..1	CodeableConcept	Edit flags section Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92012-4
Slices for entry	S	12..12	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:editFlagBirthweight		1..1	Reference(Observation - Edit Flag Birthweight)	A reference to data that supports this section
entry:editFlagEstimateOfGestation		1..1	Reference(Observation - Edit Flag Estimate of Gestation)	A reference to data that supports this section
entry:editFlagFathersDateOfBirth		1..1	Reference(Observation - Edit Flag Father's Date of Birth)	A reference to data that supports this section
entry:editFlagFathersEducation		1..1	Reference(Observation - Edit Flag Father's Education)	A reference to data that supports this section
entry:editFlagMothersDateOfBirth		1..1	Reference(Observation - Edit Flag Mother's Date of Birth)	A reference to data that supports this section
entry:editFlagMothersDeliveryWeight		1..1	Reference(Observation - Edit Flag Mother's Delivery Weight)	A reference to data that supports this section
entry:editFlagMothersEducation		1..1	Reference(Observation - Edit Flag Mother's Education)	A reference to data that supports this section
entry:editFlagMothersHeight		1..1	Reference(Observation - Edit Flag Mother's Height)	A reference to data that supports this section
entry:editFlagMothersPrepregnancyWeight		1..1	Reference(Observation - Edit Flag Mother's Prepregnancy Weight)	A reference to data that supports this section
entry:editFlagNumberPrenatalCareVisits		1..1	Reference(Observation - Edit Flag Number Prenatal Care Visits)	A reference to data that supports this section
entry:editFlagNumberPreviousCesareans		1..1	Reference(Observation - Edit Flag Number of Previous Cesareans)	A reference to data that supports this section
entry:editFlagPlurality		1..1	Reference(Observation - Edit Flag Plurality)	A reference to data that supports this section
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Jurisdiction Live Birth Report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
liveBirthCertificateNumber	S	1..1	Identifier	Birth Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber	S	0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar	S	1..1	dateTime	Date filed by registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
replacementStatus	S	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Jurisdiction live birth 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: 92011-6
subject	SΣ	1..1	Reference(Patient - Child - Vital Records)	The subject of the composition is the newborn baby
encounter	SΣ	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
date	SΣ	1..1	dateTime	Date report completed
author	SΣ	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	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:motherPrenatal	SC	0..1	BackboneElement	Mother (prenatal) section on the Live Birth Certificate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57073-9
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	SC	1..*	Reference(Resource)	Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	SC	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	SC	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:numberPrenatalCareVisits	SC	0..1	Reference(Observation - Number of Prenatal Visits - Vital Records)	Number of prenatal care visits
entry:dateLastNormalMenses	SC	0..1	Reference(Observation - Last Menstrual Period - Vital Records)	Date last normal menses began
entry:numberNowLiving	SC	0..1	Reference(Observation - Number of Births Now Living - Vital Records)	Number of previous live births now living
entry:numberNowDead	SC	0..1	Reference(Observation - Number of Births Now Dead - Vital Records)	Number of previous live births now dead
entry:dateLastLiveBirth	SC	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:numberOtherOutcomes	SC	0..1	Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	SC	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	SC	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	SC	0..1	Reference(Observation - Mother Delivery Weight - Vital Records)	Mother's weight at delivery
entry:mothersHeight	SC	0..1	Reference(Observation - Mother Height - Vital Records)	Mother's height
entry:mothersPrepregnancyWeight	SC	0..1	Reference(Observation - Mother Prepregnancy Weight - Vital Records)	Mother's prepregnancy weight
entry:motherReceivedWICFood	SC	0..1	Reference(Observation - Mother Recieved WIC Food)	Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy	SC	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation	SC	0..1	BackboneElement	Medical and Health Information section on the Live Birth Certificate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	SC	1..*	Reference(Resource)	Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	SC	0..*	Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records)	Risk factors in this pregnancy
entry:numberPreviousCesareans	SC	0..1	Reference(Observation - Number of Previous Cesareans - Vital Records)	If mother had a previous cesarean delivery, how many
entry:infectionsDuringPregnancy	SC	0..*	Reference(Condition - Infection Present During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	SC	1..1	Reference(Procedure - Obstetric)	Obstetric procedures
entry:characteristicsLaborDelivery	SC	0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
entry:fetalPresentation	SC	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	SC	0..1	Reference(Procedure - Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	SC	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:newbornInformation	SC	0..1	BackboneElement	Newborn section on the Live Birth Certificate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Newborn delivery information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
Slices for entry	SC	1..*	Reference(Resource)	Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	SC	0..1	Reference(Observation - Birth Weight - Vital Records)	Birthweight
entry:gestationalAgeAtDelivery	SC	0..1	Reference(Observation - Gestational Age at Delivery - Vital Records)	Obstetric estimate of gestation
entry:ApgarScore	SC	0..2	Reference(Observation - Apgar Score - Vital Records)	Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery	SC	0..1	Reference(Observation - Number of Live Births This Delivery - Vital Records)	Number of live births this delivery
entry:abnormalConditionsNewborn	SC	0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	SC	0..*	Reference(Condition - Congenital Anomaly of Newborn)	Congenital anomolies of the newborn
entry:infantLiving	SC	0..1	Reference(Observation - Infant Living - Vital Records)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	SC	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
section:motherInformation	SC	0..1	BackboneElement	Mother administrative section on the Live Birth Certificate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92014-0
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	SC	1..*	Reference(Resource)	Entries that are contained in the motherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:marriedDuringPregnancy	SC	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	SC	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
entry:mothersEducation	SC	0..1	Reference(Observation - Parent Education Level - Vital Records)	Mother's education
section:fatherInformation	SC	0..1	BackboneElement	Father section on the Live Birth Certificate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
focus	S	1..1	Reference(RelatedPerson - Father Natural - Vital Records)	The focus of this section is the father
Slices for entry	SC	1..*	Reference(Resource)	Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:paternityAcknowledgementSigned	SC	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	SC	0..1	Reference(Observation - Parent Education Level - Vital Records)	Father's education
section:EditFlags	SC	1..1	BackboneElement	Edit Flags Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Edit flags section Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92012-4
Slices for entry	SC	12..12	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:editFlagBirthweight	C	1..1	Reference(Observation - Edit Flag Birthweight)	A reference to data that supports this section
entry:editFlagEstimateOfGestation	C	1..1	Reference(Observation - Edit Flag Estimate of Gestation)	A reference to data that supports this section
entry:editFlagFathersDateOfBirth	C	1..1	Reference(Observation - Edit Flag Father's Date of Birth)	A reference to data that supports this section
entry:editFlagFathersEducation	C	1..1	Reference(Observation - Edit Flag Father's Education)	A reference to data that supports this section
entry:editFlagMothersDateOfBirth	C	1..1	Reference(Observation - Edit Flag Mother's Date of Birth)	A reference to data that supports this section
entry:editFlagMothersDeliveryWeight	C	1..1	Reference(Observation - Edit Flag Mother's Delivery Weight)	A reference to data that supports this section
entry:editFlagMothersEducation	C	1..1	Reference(Observation - Edit Flag Mother's Education)	A reference to data that supports this section
entry:editFlagMothersHeight	C	1..1	Reference(Observation - Edit Flag Mother's Height)	A reference to data that supports this section
entry:editFlagMothersPrepregnancyWeight	C	1..1	Reference(Observation - Edit Flag Mother's Prepregnancy Weight)	A reference to data that supports this section
entry:editFlagNumberPrenatalCareVisits	C	1..1	Reference(Observation - Edit Flag Number Prenatal Care Visits)	A reference to data that supports this section
entry:editFlagNumberPreviousCesareans	C	1..1	Reference(Observation - Edit Flag Number of Previous Cesareans)	A reference to data that supports this section
entry:editFlagPlurality	C	1..1	Reference(Observation - Edit Flag Plurality)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 92011-6
Composition.section:motherPrenatal.code	example	Pattern: LOINC code 57073-9
Composition.section:medicalHealthInformation.code	example	Pattern: LOINC code 55752-0
Composition.section:newbornInformation.code	example	Pattern: LOINC code 57075-4
Composition.section:motherInformation.code	example	Pattern: LOINC code 92014-0
Composition.section:fatherInformation.code	example	Pattern: LOINC code 92013-2
Composition.section:EditFlags.code	example	Pattern: LOINC code 92012-4

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:newbornInformation, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:EditFlags	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:newbornInformation, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:EditFlags	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Jurisdiction Live Birth Report
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	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
liveBirthCertificateNumber	S	1..1	Identifier	Birth Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber	S	0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar	S	1..1	dateTime	Date filed by registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
replacementStatus	S	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Jurisdiction live birth 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: 92011-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient - Child - Vital Records)	The subject of the composition is the newborn baby
encounter	SΣ	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
id		0..1	string	Unique id for inter-element referencing
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
date	SΣ	1..1	dateTime	Date report completed
author	SΣ	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	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	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	SC	0..1	BackboneElement	Mother (prenatal) section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57073-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(Patient - Mother - 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	SC	1..*	Reference(Resource)	Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	SC	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	SC	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:numberPrenatalCareVisits	SC	0..1	Reference(Observation - Number of Prenatal Visits - Vital Records)	Number of prenatal care visits
entry:dateLastNormalMenses	SC	0..1	Reference(Observation - Last Menstrual Period - Vital Records)	Date last normal menses began
entry:numberNowLiving	SC	0..1	Reference(Observation - Number of Births Now Living - Vital Records)	Number of previous live births now living
entry:numberNowDead	SC	0..1	Reference(Observation - Number of Births Now Dead - Vital Records)	Number of previous live births now dead
entry:dateLastLiveBirth	SC	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:numberOtherOutcomes	SC	0..1	Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	SC	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	SC	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	SC	0..1	Reference(Observation - Mother Delivery Weight - Vital Records)	Mother's weight at delivery
entry:mothersHeight	SC	0..1	Reference(Observation - Mother Height - Vital Records)	Mother's height
entry:mothersPrepregnancyWeight	SC	0..1	Reference(Observation - Mother Prepregnancy Weight - Vital Records)	Mother's prepregnancy weight
entry:motherReceivedWICFood	SC	0..1	Reference(Observation - Mother Recieved WIC Food)	Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy	SC	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	SC	0..1	BackboneElement	Medical and Health Information section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(Patient - Mother - 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	SC	1..*	Reference(Resource)	Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	SC	0..*	Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records)	Risk factors in this pregnancy
entry:numberPreviousCesareans	SC	0..1	Reference(Observation - Number of Previous Cesareans - Vital Records)	If mother had a previous cesarean delivery, how many
entry:infectionsDuringPregnancy	SC	0..*	Reference(Condition - Infection Present During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	SC	1..1	Reference(Procedure - Obstetric)	Obstetric procedures
entry:characteristicsLaborDelivery	SC	0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
entry:fetalPresentation	SC	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	SC	0..1	Reference(Procedure - Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	SC	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:newbornInformation	SC	0..1	BackboneElement	Newborn section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Newborn delivery information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	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	SC	1..*	Reference(Resource)	Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	SC	0..1	Reference(Observation - Birth Weight - Vital Records)	Birthweight
entry:gestationalAgeAtDelivery	SC	0..1	Reference(Observation - Gestational Age at Delivery - Vital Records)	Obstetric estimate of gestation
entry:ApgarScore	SC	0..2	Reference(Observation - Apgar Score - Vital Records)	Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery	SC	0..1	Reference(Observation - Number of Live Births This Delivery - Vital Records)	Number of live births this delivery
entry:abnormalConditionsNewborn	SC	0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	SC	0..*	Reference(Condition - Congenital Anomaly of Newborn)	Congenital anomolies of the newborn
entry:infantLiving	SC	0..1	Reference(Observation - Infant Living - Vital Records)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	SC	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
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	SC	0..1	BackboneElement	Mother administrative section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92014-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(Patient - Mother - 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	SC	1..*	Reference(Resource)	Entries that are contained in the motherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:marriedDuringPregnancy	SC	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	SC	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
entry:mothersEducation	SC	0..1	Reference(Observation - Parent Education Level - Vital Records)	Mother's education
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	SC	0..1	BackboneElement	Father section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(RelatedPerson - Father Natural - 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	SC	1..*	Reference(Resource)	Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:paternityAcknowledgementSigned	SC	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	SC	0..1	Reference(Observation - Parent Education Level - Vital Records)	Father's education
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:EditFlags	SC	1..1	BackboneElement	Edit Flags Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Edit flags section 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: 92012-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	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	SC	12..12	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:editFlagBirthweight	C	1..1	Reference(Observation - Edit Flag Birthweight)	A reference to data that supports this section
entry:editFlagEstimateOfGestation	C	1..1	Reference(Observation - Edit Flag Estimate of Gestation)	A reference to data that supports this section
entry:editFlagFathersDateOfBirth	C	1..1	Reference(Observation - Edit Flag Father's Date of Birth)	A reference to data that supports this section
entry:editFlagFathersEducation	C	1..1	Reference(Observation - Edit Flag Father's Education)	A reference to data that supports this section
entry:editFlagMothersDateOfBirth	C	1..1	Reference(Observation - Edit Flag Mother's Date of Birth)	A reference to data that supports this section
entry:editFlagMothersDeliveryWeight	C	1..1	Reference(Observation - Edit Flag Mother's Delivery Weight)	A reference to data that supports this section
entry:editFlagMothersEducation	C	1..1	Reference(Observation - Edit Flag Mother's Education)	A reference to data that supports this section
entry:editFlagMothersHeight	C	1..1	Reference(Observation - Edit Flag Mother's Height)	A reference to data that supports this section
entry:editFlagMothersPrepregnancyWeight	C	1..1	Reference(Observation - Edit Flag Mother's Prepregnancy Weight)	A reference to data that supports this section
entry:editFlagNumberPrenatalCareVisits	C	1..1	Reference(Observation - Edit Flag Number Prenatal Care Visits)	A reference to data that supports this section
entry:editFlagNumberPreviousCesareans	C	1..1	Reference(Observation - Edit Flag Number of Previous Cesareans)	A reference to data that supports this section
entry:editFlagPlurality	C	1..1	Reference(Observation - Edit Flag Plurality)	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
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 92011-6
Composition.category	example	DocumentClassValueSet
Composition.encounter.type	extensible	ResourceType
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:newbornInformation.code	example	Pattern: LOINC code 57075-4
Composition.section:newbornInformation.mode	required	ListMode
Composition.section:newbornInformation.orderedBy	preferred	ListOrderCodes
Composition.section:newbornInformation.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:EditFlags.code	example	Pattern: LOINC code 92012-4
Composition.section:EditFlags.mode	required	ListMode
Composition.section:EditFlags.orderedBy	preferred	ListOrderCodes
Composition.section:EditFlags.emptyReason	preferred	ListEmptyReasons

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:newbornInformation, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:EditFlags	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:newbornInformation, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:EditFlags	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 18 elements (15 nested mandatory elements)
Must-Support: 70 elements

Structures

This structure refers to these other structures:

• Patient - Child - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr)
• Encounter - Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth)
• 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 - Number of Prenatal Visits - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-prenatal-visits-vr)
• Observation - Last Menstrual Period - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-last-menstrual-period-vr)
• Observation - Number of Births Now Living - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-living-vr)
• Observation - Number of Births Now Dead - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-dead-vr)
• Observation - Date of Last Live Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth)
• Observation - Number of Other Pregnancy Outcomes - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-other-pregnancy-outcomes-vr)
• Observation - Date of Last Other Pregnancy Outcome (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-other-pregnancy-outcome)
• Coverage - Principal Payer for Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-for-delivery)
• Observation - Mother Delivery Weight - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-delivery-weight-vr)
• Observation - Mother Height - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-height-vr)
• Observation - Mother Prepregnancy Weight - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-prepregnancy-weight-vr)
• 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 - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-prepregnancy-diabetes-vr)
• Condition - Gestational Diabetes - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-gestational-diabetes-vr)
• Condition - Prepregnancy Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-prepregnancy-hypertension-vr)
• Condition - Gestational Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-gestational-hypertension-vr)
• Condition - Eclampsia Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-eclampsia-hypertension-vr)
• Observation - Previous Preterm Birth - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-previous-preterm-birth-vr)
• Procedure - Infertility Treatment - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-infertility-treatment-vr)
• Procedure - Artificial Insemination - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-artificial-insemination-vr)
• Procedure - Assisted Fertilization - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-assisted-fertilization-vr)
• Observation - Previous Cesarean - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-previous-cesarean-vr)
• Observation - None Of Specified Pregnancy Risk Factors - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-none-of-specified-pregnancy-risk-factors-vr)
• Observation - Number of Previous Cesareans - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-previous-cesareans-vr)
• Condition - Infection Present During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy)
• Procedure - Obstetric (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric)
• Procedure - Induction of Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-induction-of-labor)
• Procedure - Augmentation of Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-augmentation-of-labor)
• Observation - Administration of Steroids for Fetal Lung Maturation (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-steroids-fetal-lung-maturation)
• Observation - Antibiotics Administered During Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-antibiotics-during-labor)
• Condition - Chorioamnionitis (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-chorioamnionitis)
• Procedure - Epidural or Spinal Anesthesia (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-epidural-or-spinal-anesthesia)
• Observation - None Of Specified Characteristics of Labor and Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-characteristics-labor-delivery)
• 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)
• 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 - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-birth-weight-vr)
• Observation - Gestational Age at Delivery - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-gestational-age-at-delivery-vr)
• Observation - Apgar Score - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-apgar-score-vr)
• Observation - Number of Live Births This Delivery - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-live-births-this-delivery-vr)
• Procedure - Assisted Ventilation Following Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-ventilation-following-delivery)
• Procedure - Assisted Ventilation More Than Six Hours (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-ventilation-more-than-six-hours)
• Observation - NICU Admission (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-nicu-admission)
• Procedure - Surfactant Replacement Therapy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-surfactant-replacement-therapy)
• Procedure - Antibiotic for Suspected Neonatal Sepsis (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-antibiotic-suspected-neonatal-sepsis)
• Condition - Seizure (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-seizure)
• Observation - None Of Specified Abnormal Conditions of Newborn (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-abnormal-conditions-of-newborn)
• Condition - Congenital Anomaly of Newborn (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn)
• Observation - Infant Living - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-infant-living-vr)
• Observation - Infant Breastfed at Discharge (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-breastfed-at-discharge)
• Observation - Mother Married During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy)
• Observation - Social Security Number Requested For Child (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-ssn-requested-for-child)
• Observation - Parent Education Level - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level-vr)
• RelatedPerson - Father Natural - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr)
• Observation - Paternity Acknowledgement Signed (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed)
• Observation - Edit Flag Birthweight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-birthweight)
• Observation - Edit Flag Estimate of Gestation (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-estimate-of-gestation)
• Observation - Edit Flag Father's Date of Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-fathers-date-of-birth)
• Observation - Edit Flag Father's Education (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-fathers-education)
• Observation - Edit Flag Mother's Date of Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-date-of-birth)
• Observation - Edit Flag Mother's Delivery Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-delivery-weight)
• Observation - Edit Flag Mother's Education (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-education)
• Observation - Edit Flag Mother's Height (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-height)
• Observation - Edit Flag Mother's Prepregnancy Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-prepregnancy-weight)
• Observation - Edit Flag Number Prenatal Care Visits (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-number-prenatal-care-visits)
• Observation - Edit Flag Number of Previous Cesareans (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-number-previous-cesareans)
• Observation - Edit Flag Plurality (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-plurality)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-replacement-status
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference

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		0..*	Composition	Jurisdiction Live Birth Report
Slices for extension	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
liveBirthCertificateNumber	S	1..1	Identifier	Birth Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber	S	0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar	S	1..1	dateTime	Date filed by registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
replacementStatus	S	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
status	S	1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set.
type	S	1..1	CodeableConcept	Jurisdiction live birth 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: 92011-6
subject	S	1..1	Reference(Patient - Child - Vital Records)	The subject of the composition is the newborn baby
encounter	S	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
date	S	1..1	dateTime	Date report completed
author	S	1..1	Reference(US Core Organization Profile)	The author is the jurisdictional Vital Records Office.
Slices for section	S	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:motherPrenatal	S	0..1	BackboneElement	Mother (prenatal) section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Prenatal records Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57073-9
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	S	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	S	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:numberPrenatalCareVisits	S	0..1	Reference(Observation - Number of Prenatal Visits - Vital Records)	Number of prenatal care visits
entry:dateLastNormalMenses	S	0..1	Reference(Observation - Last Menstrual Period - Vital Records)	Date last normal menses began
entry:numberNowLiving	S	0..1	Reference(Observation - Number of Births Now Living - Vital Records)	Number of previous live births now living
entry:numberNowDead	S	0..1	Reference(Observation - Number of Births Now Dead - Vital Records)	Number of previous live births now dead
entry:dateLastLiveBirth	S	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:numberOtherOutcomes	S	0..1	Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	S	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	S	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	S	0..1	Reference(Observation - Mother Delivery Weight - Vital Records)	Mother's weight at delivery
entry:mothersHeight	S	0..1	Reference(Observation - Mother Height - Vital Records)	Mother's height
entry:mothersPrepregnancyWeight	S	0..1	Reference(Observation - Mother Prepregnancy Weight - Vital Records)	Mother's prepregnancy weight
entry:motherReceivedWICFood	S	0..1	Reference(Observation - Mother Recieved WIC Food)	Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy	S	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation	S	0..1	BackboneElement	Medical and Health Information section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Clinical information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	S	0..*	Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records)	Risk factors in this pregnancy
entry:numberPreviousCesareans	S	0..1	Reference(Observation - Number of Previous Cesareans - Vital Records)	If mother had a previous cesarean delivery, how many
entry:infectionsDuringPregnancy	S	0..*	Reference(Condition - Infection Present During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	S	1..1	Reference(Procedure - Obstetric)	Obstetric procedures
entry:characteristicsLaborDelivery	S	0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
entry:fetalPresentation	S	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	S	0..1	Reference(Procedure - Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	S	0..*	Reference(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:newbornInformation	S	0..1	BackboneElement	Newborn section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Newborn delivery information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	S	0..1	Reference(Observation - Birth Weight - Vital Records)	Birthweight
entry:gestationalAgeAtDelivery	S	0..1	Reference(Observation - Gestational Age at Delivery - Vital Records)	Obstetric estimate of gestation
entry:ApgarScore	S	0..2	Reference(Observation - Apgar Score - Vital Records)	Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery	S	0..1	Reference(Observation - Number of Live Births This Delivery - Vital Records)	Number of live births this delivery
entry:abnormalConditionsNewborn	S	0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	S	0..*	Reference(Condition - Congenital Anomaly of Newborn)	Congenital anomolies of the newborn
entry:infantLiving	S	0..1	Reference(Observation - Infant Living - Vital Records)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	S	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
section:motherInformation	S	0..1	BackboneElement	Mother administrative section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Mother's administrative information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92014-0
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the motherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:marriedDuringPregnancy	S	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	S	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
entry:mothersEducation	S	0..1	Reference(Observation - Parent Education Level - Vital Records)	Mother's education
section:fatherInformation	S	0..1	BackboneElement	Father section on the Live Birth Certificate
code	S	1..1	CodeableConcept	Father's administrative information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
focus	S	1..1	Reference(RelatedPerson - Father Natural - Vital Records)	The focus of this section is the father
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:paternityAcknowledgementSigned	S	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	S	0..1	Reference(Observation - Parent Education Level - Vital Records)	Father's education
section:EditFlags	S	1..1	BackboneElement	Edit Flags Section
code	S	1..1	CodeableConcept	Edit flags section Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92012-4
Slices for entry	S	12..12	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:editFlagBirthweight		1..1	Reference(Observation - Edit Flag Birthweight)	A reference to data that supports this section
entry:editFlagEstimateOfGestation		1..1	Reference(Observation - Edit Flag Estimate of Gestation)	A reference to data that supports this section
entry:editFlagFathersDateOfBirth		1..1	Reference(Observation - Edit Flag Father's Date of Birth)	A reference to data that supports this section
entry:editFlagFathersEducation		1..1	Reference(Observation - Edit Flag Father's Education)	A reference to data that supports this section
entry:editFlagMothersDateOfBirth		1..1	Reference(Observation - Edit Flag Mother's Date of Birth)	A reference to data that supports this section
entry:editFlagMothersDeliveryWeight		1..1	Reference(Observation - Edit Flag Mother's Delivery Weight)	A reference to data that supports this section
entry:editFlagMothersEducation		1..1	Reference(Observation - Edit Flag Mother's Education)	A reference to data that supports this section
entry:editFlagMothersHeight		1..1	Reference(Observation - Edit Flag Mother's Height)	A reference to data that supports this section
entry:editFlagMothersPrepregnancyWeight		1..1	Reference(Observation - Edit Flag Mother's Prepregnancy Weight)	A reference to data that supports this section
entry:editFlagNumberPrenatalCareVisits		1..1	Reference(Observation - Edit Flag Number Prenatal Care Visits)	A reference to data that supports this section
entry:editFlagNumberPreviousCesareans		1..1	Reference(Observation - Edit Flag Number of Previous Cesareans)	A reference to data that supports this section
entry:editFlagPlurality		1..1	Reference(Observation - Edit Flag Plurality)	A reference to data that supports this section
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Jurisdiction Live Birth Report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
liveBirthCertificateNumber	S	1..1	Identifier	Birth Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber	S	0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar	S	1..1	dateTime	Date filed by registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
replacementStatus	S	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Jurisdiction live birth 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: 92011-6
subject	SΣ	1..1	Reference(Patient - Child - Vital Records)	The subject of the composition is the newborn baby
encounter	SΣ	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
date	SΣ	1..1	dateTime	Date report completed
author	SΣ	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	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:motherPrenatal	SC	0..1	BackboneElement	Mother (prenatal) section on the Live Birth Certificate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57073-9
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	SC	1..*	Reference(Resource)	Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	SC	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	SC	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:numberPrenatalCareVisits	SC	0..1	Reference(Observation - Number of Prenatal Visits - Vital Records)	Number of prenatal care visits
entry:dateLastNormalMenses	SC	0..1	Reference(Observation - Last Menstrual Period - Vital Records)	Date last normal menses began
entry:numberNowLiving	SC	0..1	Reference(Observation - Number of Births Now Living - Vital Records)	Number of previous live births now living
entry:numberNowDead	SC	0..1	Reference(Observation - Number of Births Now Dead - Vital Records)	Number of previous live births now dead
entry:dateLastLiveBirth	SC	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:numberOtherOutcomes	SC	0..1	Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	SC	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	SC	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	SC	0..1	Reference(Observation - Mother Delivery Weight - Vital Records)	Mother's weight at delivery
entry:mothersHeight	SC	0..1	Reference(Observation - Mother Height - Vital Records)	Mother's height
entry:mothersPrepregnancyWeight	SC	0..1	Reference(Observation - Mother Prepregnancy Weight - Vital Records)	Mother's prepregnancy weight
entry:motherReceivedWICFood	SC	0..1	Reference(Observation - Mother Recieved WIC Food)	Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy	SC	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
section:medicalHealthInformation	SC	0..1	BackboneElement	Medical and Health Information section on the Live Birth Certificate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	SC	1..*	Reference(Resource)	Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	SC	0..*	Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records)	Risk factors in this pregnancy
entry:numberPreviousCesareans	SC	0..1	Reference(Observation - Number of Previous Cesareans - Vital Records)	If mother had a previous cesarean delivery, how many
entry:infectionsDuringPregnancy	SC	0..*	Reference(Condition - Infection Present During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	SC	1..1	Reference(Procedure - Obstetric)	Obstetric procedures
entry:characteristicsLaborDelivery	SC	0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
entry:fetalPresentation	SC	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	SC	0..1	Reference(Procedure - Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	SC	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:newbornInformation	SC	0..1	BackboneElement	Newborn section on the Live Birth Certificate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Newborn delivery information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
Slices for entry	SC	1..*	Reference(Resource)	Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	SC	0..1	Reference(Observation - Birth Weight - Vital Records)	Birthweight
entry:gestationalAgeAtDelivery	SC	0..1	Reference(Observation - Gestational Age at Delivery - Vital Records)	Obstetric estimate of gestation
entry:ApgarScore	SC	0..2	Reference(Observation - Apgar Score - Vital Records)	Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery	SC	0..1	Reference(Observation - Number of Live Births This Delivery - Vital Records)	Number of live births this delivery
entry:abnormalConditionsNewborn	SC	0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	SC	0..*	Reference(Condition - Congenital Anomaly of Newborn)	Congenital anomolies of the newborn
entry:infantLiving	SC	0..1	Reference(Observation - Infant Living - Vital Records)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	SC	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
section:motherInformation	SC	0..1	BackboneElement	Mother administrative section on the Live Birth Certificate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92014-0
focus	S	1..1	Reference(Patient - Mother - Vital Records)	The focus of this section is the mother
Slices for entry	SC	1..*	Reference(Resource)	Entries that are contained in the motherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:marriedDuringPregnancy	SC	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	SC	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
entry:mothersEducation	SC	0..1	Reference(Observation - Parent Education Level - Vital Records)	Mother's education
section:fatherInformation	SC	0..1	BackboneElement	Father section on the Live Birth Certificate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
focus	S	1..1	Reference(RelatedPerson - Father Natural - Vital Records)	The focus of this section is the father
Slices for entry	SC	1..*	Reference(Resource)	Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:paternityAcknowledgementSigned	SC	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	SC	0..1	Reference(Observation - Parent Education Level - Vital Records)	Father's education
section:EditFlags	SC	1..1	BackboneElement	Edit Flags Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Edit flags section Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92012-4
Slices for entry	SC	12..12	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:editFlagBirthweight	C	1..1	Reference(Observation - Edit Flag Birthweight)	A reference to data that supports this section
entry:editFlagEstimateOfGestation	C	1..1	Reference(Observation - Edit Flag Estimate of Gestation)	A reference to data that supports this section
entry:editFlagFathersDateOfBirth	C	1..1	Reference(Observation - Edit Flag Father's Date of Birth)	A reference to data that supports this section
entry:editFlagFathersEducation	C	1..1	Reference(Observation - Edit Flag Father's Education)	A reference to data that supports this section
entry:editFlagMothersDateOfBirth	C	1..1	Reference(Observation - Edit Flag Mother's Date of Birth)	A reference to data that supports this section
entry:editFlagMothersDeliveryWeight	C	1..1	Reference(Observation - Edit Flag Mother's Delivery Weight)	A reference to data that supports this section
entry:editFlagMothersEducation	C	1..1	Reference(Observation - Edit Flag Mother's Education)	A reference to data that supports this section
entry:editFlagMothersHeight	C	1..1	Reference(Observation - Edit Flag Mother's Height)	A reference to data that supports this section
entry:editFlagMothersPrepregnancyWeight	C	1..1	Reference(Observation - Edit Flag Mother's Prepregnancy Weight)	A reference to data that supports this section
entry:editFlagNumberPrenatalCareVisits	C	1..1	Reference(Observation - Edit Flag Number Prenatal Care Visits)	A reference to data that supports this section
entry:editFlagNumberPreviousCesareans	C	1..1	Reference(Observation - Edit Flag Number of Previous Cesareans)	A reference to data that supports this section
entry:editFlagPlurality	C	1..1	Reference(Observation - Edit Flag Plurality)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 92011-6
Composition.section:motherPrenatal.code	example	Pattern: LOINC code 57073-9
Composition.section:medicalHealthInformation.code	example	Pattern: LOINC code 55752-0
Composition.section:newbornInformation.code	example	Pattern: LOINC code 57075-4
Composition.section:motherInformation.code	example	Pattern: LOINC code 92014-0
Composition.section:fatherInformation.code	example	Pattern: LOINC code 92013-2
Composition.section:EditFlags.code	example	Pattern: LOINC code 92012-4

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:newbornInformation, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:EditFlags	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:newbornInformation, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:EditFlags	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Jurisdiction Live Birth Report
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	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
liveBirthCertificateNumber	S	1..1	Identifier	Birth Number URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
liveBirthLocalFileNumber	S	0..1	Identifier	Local File No. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
dateFiledByRegistrar	S	1..1	dateTime	Date filed by registrar URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
replacementStatus	S	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-replacement-status Binding: ValueSet - Replacement Status (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Jurisdiction live birth 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: 92011-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient - Child - Vital Records)	The subject of the composition is the newborn baby
encounter	SΣ	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
id		0..1	string	Unique id for inter-element referencing
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Extension URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
date	SΣ	1..1	dateTime	Date report completed
author	SΣ	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	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	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	SC	0..1	BackboneElement	Mother (prenatal) section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Prenatal records Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57073-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(Patient - Mother - 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	SC	1..*	Reference(Resource)	Entries that are contained in the Mother Prenatal section Slice: Unordered, Open by profile:$this.resolve()
entry:plannedToDeliverAtHome	SC	0..1	Reference(Observation - Planned to Deliver at Home)	Planned to deliver at home
entry:firstPrenatalCareVisit	SC	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:numberPrenatalCareVisits	SC	0..1	Reference(Observation - Number of Prenatal Visits - Vital Records)	Number of prenatal care visits
entry:dateLastNormalMenses	SC	0..1	Reference(Observation - Last Menstrual Period - Vital Records)	Date last normal menses began
entry:numberNowLiving	SC	0..1	Reference(Observation - Number of Births Now Living - Vital Records)	Number of previous live births now living
entry:numberNowDead	SC	0..1	Reference(Observation - Number of Births Now Dead - Vital Records)	Number of previous live births now dead
entry:dateLastLiveBirth	SC	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:numberOtherOutcomes	SC	0..1	Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	SC	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	SC	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	SC	0..1	Reference(Observation - Mother Delivery Weight - Vital Records)	Mother's weight at delivery
entry:mothersHeight	SC	0..1	Reference(Observation - Mother Height - Vital Records)	Mother's height
entry:mothersPrepregnancyWeight	SC	0..1	Reference(Observation - Mother Prepregnancy Weight - Vital Records)	Mother's prepregnancy weight
entry:motherReceivedWICFood	SC	0..1	Reference(Observation - Mother Recieved WIC Food)	Use of the WIC nutritional program by the mother
entry:cigaretteSmokingBeforeDuringPregnancy	SC	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	SC	0..1	BackboneElement	Medical and Health Information section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Clinical information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55752-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(Patient - Mother - 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	SC	1..*	Reference(Resource)	Entries that are contained in the medical and health information section Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyRiskFactors	SC	0..*	Reference(Condition - Prepregnancy Diabetes - Vital Records | Condition - Gestational Diabetes - Vital Records | Condition - Prepregnancy Hypertension - Vital Records | Condition - Gestational Hypertension - Vital Records | Condition - Eclampsia Hypertension - Vital Records | Observation - Previous Preterm Birth - Vital Records | Procedure - Infertility Treatment - Vital Records | Procedure - Artificial Insemination - Vital Records | Procedure - Assisted Fertilization - Vital Records | Observation - Previous Cesarean - Vital Records | Observation - None Of Specified Pregnancy Risk Factors - Vital Records)	Risk factors in this pregnancy
entry:numberPreviousCesareans	SC	0..1	Reference(Observation - Number of Previous Cesareans - Vital Records)	If mother had a previous cesarean delivery, how many
entry:infectionsDuringPregnancy	SC	0..*	Reference(Condition - Infection Present During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	SC	1..1	Reference(Procedure - Obstetric)	Obstetric procedures
entry:characteristicsLaborDelivery	SC	0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
entry:fetalPresentation	SC	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	SC	0..1	Reference(Procedure - Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	SC	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:newbornInformation	SC	0..1	BackboneElement	Newborn section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Newborn delivery information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	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	SC	1..*	Reference(Resource)	Entries that are contained in the newborn section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	SC	0..1	Reference(Observation - Birth Weight - Vital Records)	Birthweight
entry:gestationalAgeAtDelivery	SC	0..1	Reference(Observation - Gestational Age at Delivery - Vital Records)	Obstetric estimate of gestation
entry:ApgarScore	SC	0..2	Reference(Observation - Apgar Score - Vital Records)	Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery	SC	0..1	Reference(Observation - Number of Live Births This Delivery - Vital Records)	Number of live births this delivery
entry:abnormalConditionsNewborn	SC	0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	SC	0..*	Reference(Condition - Congenital Anomaly of Newborn)	Congenital anomolies of the newborn
entry:infantLiving	SC	0..1	Reference(Observation - Infant Living - Vital Records)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	SC	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
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	SC	0..1	BackboneElement	Mother administrative section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Mother's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92014-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(Patient - Mother - 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	SC	1..*	Reference(Resource)	Entries that are contained in the motherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:marriedDuringPregnancy	SC	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	SC	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
entry:mothersEducation	SC	0..1	Reference(Observation - Parent Education Level - Vital Records)	Mother's education
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	SC	0..1	BackboneElement	Father section on the Live Birth Certificate
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus	S	1..1	Reference(RelatedPerson - Father Natural - 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	SC	1..*	Reference(Resource)	Entries that are contained in the fatherInformation section Slice: Unordered, Open by profile:$this.resolve()
entry:paternityAcknowledgementSigned	SC	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	SC	0..1	Reference(Observation - Parent Education Level - Vital Records)	Father's education
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:EditFlags	SC	1..1	BackboneElement	Edit Flags Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Edit flags section 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: 92012-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	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	SC	12..12	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:editFlagBirthweight	C	1..1	Reference(Observation - Edit Flag Birthweight)	A reference to data that supports this section
entry:editFlagEstimateOfGestation	C	1..1	Reference(Observation - Edit Flag Estimate of Gestation)	A reference to data that supports this section
entry:editFlagFathersDateOfBirth	C	1..1	Reference(Observation - Edit Flag Father's Date of Birth)	A reference to data that supports this section
entry:editFlagFathersEducation	C	1..1	Reference(Observation - Edit Flag Father's Education)	A reference to data that supports this section
entry:editFlagMothersDateOfBirth	C	1..1	Reference(Observation - Edit Flag Mother's Date of Birth)	A reference to data that supports this section
entry:editFlagMothersDeliveryWeight	C	1..1	Reference(Observation - Edit Flag Mother's Delivery Weight)	A reference to data that supports this section
entry:editFlagMothersEducation	C	1..1	Reference(Observation - Edit Flag Mother's Education)	A reference to data that supports this section
entry:editFlagMothersHeight	C	1..1	Reference(Observation - Edit Flag Mother's Height)	A reference to data that supports this section
entry:editFlagMothersPrepregnancyWeight	C	1..1	Reference(Observation - Edit Flag Mother's Prepregnancy Weight)	A reference to data that supports this section
entry:editFlagNumberPrenatalCareVisits	C	1..1	Reference(Observation - Edit Flag Number Prenatal Care Visits)	A reference to data that supports this section
entry:editFlagNumberPreviousCesareans	C	1..1	Reference(Observation - Edit Flag Number of Previous Cesareans)	A reference to data that supports this section
entry:editFlagPlurality	C	1..1	Reference(Observation - Edit Flag Plurality)	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
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 92011-6
Composition.category	example	DocumentClassValueSet
Composition.encounter.type	extensible	ResourceType
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:newbornInformation.code	example	Pattern: LOINC code 57075-4
Composition.section:newbornInformation.mode	required	ListMode
Composition.section:newbornInformation.orderedBy	preferred	ListOrderCodes
Composition.section:newbornInformation.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:EditFlags.code	example	Pattern: LOINC code 92012-4
Composition.section:EditFlags.mode	required	ListMode
Composition.section:EditFlags.orderedBy	preferred	ListOrderCodes
Composition.section:EditFlags.emptyReason	preferred	ListEmptyReasons

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:newbornInformation, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:EditFlags	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:motherPrenatal, Composition.section:medicalHealthInformation, Composition.section:newbornInformation, Composition.section:motherInformation, Composition.section:fatherInformation, Composition.section:EditFlags	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 18 elements (15 nested mandatory elements)
Must-Support: 70 elements

Structures

This structure refers to these other structures:

• Patient - Child - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr)
• Encounter - Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth)
• 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 - Number of Prenatal Visits - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-prenatal-visits-vr)
• Observation - Last Menstrual Period - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-last-menstrual-period-vr)
• Observation - Number of Births Now Living - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-living-vr)
• Observation - Number of Births Now Dead - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-dead-vr)
• Observation - Date of Last Live Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth)
• Observation - Number of Other Pregnancy Outcomes - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-other-pregnancy-outcomes-vr)
• Observation - Date of Last Other Pregnancy Outcome (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-other-pregnancy-outcome)
• Coverage - Principal Payer for Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-for-delivery)
• Observation - Mother Delivery Weight - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-delivery-weight-vr)
• Observation - Mother Height - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-height-vr)
• Observation - Mother Prepregnancy Weight - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-prepregnancy-weight-vr)
• 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 - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-prepregnancy-diabetes-vr)
• Condition - Gestational Diabetes - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-gestational-diabetes-vr)
• Condition - Prepregnancy Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-prepregnancy-hypertension-vr)
• Condition - Gestational Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-gestational-hypertension-vr)
• Condition - Eclampsia Hypertension - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-eclampsia-hypertension-vr)
• Observation - Previous Preterm Birth - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-previous-preterm-birth-vr)
• Procedure - Infertility Treatment - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-infertility-treatment-vr)
• Procedure - Artificial Insemination - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-artificial-insemination-vr)
• Procedure - Assisted Fertilization - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-assisted-fertilization-vr)
• Observation - Previous Cesarean - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-previous-cesarean-vr)
• Observation - None Of Specified Pregnancy Risk Factors - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-none-of-specified-pregnancy-risk-factors-vr)
• Observation - Number of Previous Cesareans - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-previous-cesareans-vr)
• Condition - Infection Present During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy)
• Procedure - Obstetric (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric)
• Procedure - Induction of Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-induction-of-labor)
• Procedure - Augmentation of Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-augmentation-of-labor)
• Observation - Administration of Steroids for Fetal Lung Maturation (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-steroids-fetal-lung-maturation)
• Observation - Antibiotics Administered During Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-antibiotics-during-labor)
• Condition - Chorioamnionitis (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-chorioamnionitis)
• Procedure - Epidural or Spinal Anesthesia (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-epidural-or-spinal-anesthesia)
• Observation - None Of Specified Characteristics of Labor and Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-characteristics-labor-delivery)
• 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)
• 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 - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-birth-weight-vr)
• Observation - Gestational Age at Delivery - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-gestational-age-at-delivery-vr)
• Observation - Apgar Score - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-apgar-score-vr)
• Observation - Number of Live Births This Delivery - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-live-births-this-delivery-vr)
• Procedure - Assisted Ventilation Following Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-ventilation-following-delivery)
• Procedure - Assisted Ventilation More Than Six Hours (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-ventilation-more-than-six-hours)
• Observation - NICU Admission (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-nicu-admission)
• Procedure - Surfactant Replacement Therapy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-surfactant-replacement-therapy)
• Procedure - Antibiotic for Suspected Neonatal Sepsis (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-antibiotic-suspected-neonatal-sepsis)
• Condition - Seizure (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-seizure)
• Observation - None Of Specified Abnormal Conditions of Newborn (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-abnormal-conditions-of-newborn)
• Condition - Congenital Anomaly of Newborn (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn)
• Observation - Infant Living - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-infant-living-vr)
• Observation - Infant Breastfed at Discharge (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-breastfed-at-discharge)
• Observation - Mother Married During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy)
• Observation - Social Security Number Requested For Child (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-ssn-requested-for-child)
• Observation - Parent Education Level - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level-vr)
• RelatedPerson - Father Natural - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr)
• Observation - Paternity Acknowledgement Signed (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed)
• Observation - Edit Flag Birthweight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-birthweight)
• Observation - Edit Flag Estimate of Gestation (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-estimate-of-gestation)
• Observation - Edit Flag Father's Date of Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-fathers-date-of-birth)
• Observation - Edit Flag Father's Education (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-fathers-education)
• Observation - Edit Flag Mother's Date of Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-date-of-birth)
• Observation - Edit Flag Mother's Delivery Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-delivery-weight)
• Observation - Edit Flag Mother's Education (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-education)
• Observation - Edit Flag Mother's Height (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-height)
• Observation - Edit Flag Mother's Prepregnancy Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-prepregnancy-weight)
• Observation - Edit Flag Number Prenatal Care Visits (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-number-prenatal-care-visits)
• Observation - Edit Flag Number of Previous Cesareans (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-number-previous-cesareans)
• Observation - Edit Flag Plurality (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-plurality)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-replacement-status
• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference

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()