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

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

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

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

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

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

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

This Composition profile communicates coded race and ethnicity information to the appropriate jurisdictional Vital Records Office.

This Encounter profile represents the child’s birth encounter.

This Encounter profile represents the mother’s maternity encounter.

This Extension profile is a reference to the maternity encounter.

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

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

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

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

This Observation profile indicates that the abnormal condition of an admission to the NICU was present.

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

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

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

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

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

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

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

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

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

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

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

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

This Coverage profile represents the principal payer for this delivery.

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

• Number of Cigarettes Smoked in 3 months prior to Pregnancy
• Number of Cigarettes Smoked in 1st 3 months
• Number of Cigarettes Smoked in 2nd 3 months
• Number of Cigarettes Smoked in third or last trimester

Where number of packs per day are provided, calculate number of cigarettes per day (a pack has 20 cigarettes) and record that number.

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

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

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

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

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

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

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

This Procedure profile represents the final route and method of delivery.

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

This Condition profile indicates a maternal morbidity of perineal laceration.

This Condition profile indicates a maternal morbidity of ruptured uterus.

This Observation profile indicates that the maternal morbidity of an admission to the ICU was present.

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

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

This Procedure profile indicates a maternal morbidity of unplanned hysterectomy.

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

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

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

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

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

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

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

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

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

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

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

This Observation profile indicates whether the original birthweight data provided passed validation checks.

This Observation profile indicates whether the original estimate of gestation data provided passed validation checks.

This Observation profile indicates whether the original father’s date of birth data provided passed validation checks.

This Observation profile indicates whether the original father’s education data provided passed validation checks.

This Observation profile indicates whether the original mother’s date of birth data provided passed validation checks.

This Observation profile indicates whether the original mother’s delivery weight data provided passed validation checks.

This Observation profile indicates whether the original mother’s education data provided passed validation checks.

This Observation profile indicates whether the original mother’s height data provided passed validation checks.

This Observation profile indicates whether the original mother’s prepregnancy weight data provided passed validation checks.

This Observation profile indicates whether the original number of previous cesareans data provided passed validation checks.

This Observation profile indicates whether the original number of prenatal care visits data provided passed validation checks.

This Observation profile indicates whether the original plurality data provided passed validation checks.

This Extension profile represents the date filed by registrar.

This Extension profile represents the date received by registrar.

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

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

This Extension profile represents the live birth certificate number - this is the “Birth Number” on the US Standard Certificate of Live Birth.

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

This Extension profile represents the replacement status of a record.

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

Bundle - Jurisdiction Live Birth Report: Baby G Quinn example

Bundle - Provider Live Birth: Baby G Quinn example

Composition - Jurisdiction Live Birth Report: BabyG Quinn example

Composition - Provider Live Birth Report: BabyG Quinn example

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

Bundle - Jurisdiction Fetal Death Report: Fetus Not Named example

Bundle - Provider Fetal Death Report: Fetus Not Named example

Composition Jurisdiction Fetal Death Report: Fetus Not Named example

Composition - Provider Fetal Death Report: Fetus Not Named

QuestionnaireResponse - Patient’s Fetal Death Worksheet: Carmen Lee

Patient - Child - Vital Records: BabyG Quinn example

Patient - Mother - Vital Records: Carmen Teresa Lee example

Patient - Mother - Vital Records: Jada Ann Quinn example

US Core Location: East Hospital example

US Core Location: North Hospital example

US Core Location: South Hospital example

Patient - Decedent Fetus - Vital Records: Fetus Not Named example

Practitioner - Vital Records: Avery Jones, MD example

Practitioner - Vital Records: Janet Seito example

Practitioner - Vital Records: Jessica Leung example

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

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

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

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

US Core Organization: South Hospital example

US Core Organization: Jurisdictional Vital Records Office example

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

Encounter - Birth: Baby G Quinn example

Encounter - Maternity: Carmen Teresa Lee example

Encounter - Maternity: Jada Ann Quinn example

Condition - Chorioamnionitis: Jada Ann Quinn example

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

Observation - Antibiotics Administered During Labor: Jada Ann Quinn example

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

Procedure - Augmentation of Labor: Jada Ann Quinn example

Procedure - Epidural or Spinal Anesthesia: Jada Ann Quinn example

Procedure - Induction of Labor: Jada Ann Quinn example

Condition - Seizure: BabyG Quinn example

Observation - NICU Admission: BabyG Quinn example

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

Procedure - Antibiotic for Suspected Neonatal Sepsis: BabyG Quinn example

Procedure - Assissted Ventilation Following Delivery: BabyG Quinn example

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

Procedure - Surfactant Replacement: BabyG Quinn example

Condition - Perineal Laceration: Jada Ann Quinn example

Condition - Ruptured Uterus: Jada Ann Quinn example

Observation - ICU Admission: Jada Ann Quinn example

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

Procedure - Blood Transfusion: Jada Ann Quinn example

Procedure Unplanned Hysterectomy: Jada Ann Quinn example

Condition - Gestational Diabetes: Carmen Teresa Lee example

Condition - Gestational Diabetes: Jada Ann Quinn example

Condition - Gestational Hypertension: Jada Ann Quinn example

Condition - Prepregnancy Diabetes: Jada Ann Quinn example

Condition - Prepregnancy Hypertension: Carmen Teresa Lee example

Observation - Pregnancy Risk Factor: Jada Ann Quinn: Deliveries by Cesarean example

Procedure - Assisted Fertilization: Jada Ann Quinn example

Procedure - Infertility Treatment: Jada Ann Quinn example

Condition - Congenital Anomaly of Newborn: Baby G Quinn example

Condition - Congenital Anomaly of Newborn: BabyG Quinn example

Condition - Infection Present During Pregnancy: Jada Ann Quinn example

Coverage - Principal Payer for Delivery: Jada Ann Quinn example

Observation - Apgar Score: BabyG Quinn: 1 min example

Observation - Apgar Score: BabyG Quinn: 5 min example

Observation - Birth Weight: Baby G Quinn example

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

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

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

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

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

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

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

Observation - Fetal Presentation: Jada Ann Quinn example

Observation - Gestational Age at Delivery: Baby G Quinn example

Observation - Infant Breastfed at Discharge: BabyG Quinn

Observation - Infant Living: BabyG Quinn example

Observation - Labor Trial Attempted: Baby G Quinn example

Observation - Last Menstrual Period: Jada Ann Quinn example

Observation - Mother Delivery Weight: Jada Ann Quinn example

Observation - Mother Height: Jada Ann Quinn example

Observation - Mother Married During Pregnancy: Jada Ann Quinn example

Observation - Mother Prepregnancy Weight: Jada Ann Quinn example

Observation - Mother Received WIC Food: Jada Ann Quinn example

Observation - Number Births Now Dead: Jada Ann Quinn example

Observation - Number Births Now Living: Jada Ann Quinn example

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

Observation - Number Other Pregnancy Outcomes: Jada Ann Quinn example

Observation - Number Prenatal Visits: Jada Ann Quinn example

Observation - Number Previous Cesareans: Jada Ann Quinn example

Observation - Parent Education Level: Jada Ann Quinn example

Observation - Parent Education Level: James Quinn example

Observation - Paternity Acknowledgement Signed: James Quinn example

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

Observation - Plurality: Jada Ann Quinn example

Observation - SSN Requested for Child: BabyG Quinn example

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

Procedure - Obstetric Procedure: Jada Ann Quinn example

Condition - Coded Initiating Cause of Fetal Death example

Condition - Coded Other Cause of Fetal Death example

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

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

Observation - Autopsy or Histological Exam Results Used: Fetus Not Named example

Observation - Autopsy Performed: Fetus Not Named example

Observation - Birth Weight: Fetus Not Named example

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

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

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

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

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

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

Observation - Fetal Presentation: Fetus Not Named example

Observation - Gestational Age at Delivery: Fetus Not Named example

Observation - Histological Placental Exam Performed: Fetus Not Named example

Observation - Last Menstrual Period: Carmen Teresa Lee example

Observation - Method of Disposition: Fetus Not Named example

Observation - Mother Height: Carmen Teresa Lee example

Observation - Mother Prepregnancy Weight: Carmen Teresa Lee example

Observation - Mother Received WIC Food: Carmen Teresa Lee example

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

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

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

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

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

Observation - Parent Education Level: Carmen Teresa Lee example

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

Observation - Plurality: Carmen Teresa Lee example

Observations - Number Previous Cesareans: Carmen Teresa Lee example

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

Edit Flag - Birth Weight example

Edit Flag - Estimate of Gestation example

Edit Flag - Father’s Birthdate example

Edit Flag - Father’s Education example

Edit Flag - Mother’s Birthdate example

Edit Flag - Mother’s Delivery Weight example

Edit Flag - Mother’s Education example

Edit Flag - Mother’s Height example

Edit Flag - Mother’s Prepregnancy Weight example

Edit Flag - Number Prenatal Care Visits example

Edit Flag - Number Previous Cesarians example

Edit Flag - Plurality example

Observation - Edit Flag Delivery Weight: Fetus Not Named example

Observation - Edit Flag Estimated Gestational Age: Fetus Not Named example

Observation - Edit Flag Mother’s Date of Birth: Fetus Not Named example

Observation - Edit Flag Mother’s Education: Fetus Not Named example

Observation - Edit Flag Mother’s Height: Fetus Not Named example

Observation - Edit Flag Mother’s Prepregnancy Weight: Fetus Not Named example

Observation - Edit Flag Number of Previous Cesareans: Fetus Not Named example

Observation - Edit Flag Plurality: Fetus Not Named example

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

Composition - Coded Race and Ethnicity: Fetus Not Named example

Observation - Race - Vital Records: Carmen Teresa Lee example

Observation - Race - Vital Records: James Quinn example

Observation - Race - Vital Records: Tom Yan Lee example

Observation - Race - Vital Records: Jada Ann Quinn example

Observation - Tabulated Ethnicity - Vital Records: Carmen Teresa Lee example

Observation - Tabulated Ethnicity - Vital Records: Jada Ann Quinn example

Observation - Tabulated Ethnicity - Vital Records: James Quinn example

Observation - Tabulated Ethnicity - Vital Records: Tom Yan Lee example

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

This value set contains codes to determine the number of cigarettes smoked in specific periods before and during pregnancy.

This ValueSet contains codes that represent the replacement status of a record submission.

Valueset with Yes, No, and Not Applicable.

This CodeSystem contains codes that represent the replacement status of a record submission.

USA SNOMED-CT