Vital Records Birth and Fetal Death Reporting
1.1.0 - STU 1.1 United States of America flag

This page is part of the Vital Records Birth and Fetal Death Reporting (v1.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Table of Contents

.. 0 Table of Contents
... 1 Home Page
... 2 The Specification
... 3 Use Cases
... 4 Patient Worksheet Questionnaires
... 5 IJE Mapping
... 6 Vital Records Forms Mapping
... 7 Terminology
... 8 Downloads
... 9 Change Log
... 10 Appendices
.... 10.1 Appendix A - Example Facility Worksheet for the Live Birth Certificate
.... 10.2 Appendix B - Example Live Birth Certificate
.... 10.3 Appendix C - Example Facility Worksheet for the Fetal Death Report
.... 10.4 Appendix D - Example Fetal Death Report
... 11 Artifacts Summary
.... 11.1 Composition - Provider Live Birth Report
.... 11.2 Questionnaire - Mother's Worksheet for Child's Birth Certificate
.... 11.3 Composition - Provider Fetal Death Report
.... 11.4 Questionnaire - Patient's Fetal Death Worksheet
.... 11.5 Composition - Jurisdiction Live Birth Report
.... 11.6 Composition - Jurisdiction Fetal Death Report
.... 11.7 Composition - Coded Cause of Fetal Death
.... 11.8 Composition - Coded Race and Ethnicity
.... 11.9 Encounter - Birth
.... 11.10 Encounter - Maternity
.... 11.11 Extension - Encounter Maternity Reference
.... 11.12 Condition - Congenital Anomaly of Newborn
.... 11.13 Observation - Fetal Presentation at Birth/Delivery
.... 11.14 Observation - Infant Breastfed at Discharge
.... 11.15 Condition - Seizure
.... 11.16 Observation - NICU Admission
.... 11.17 Observation - None Of Specified Abnormal Conditions of Newborn
.... 11.18 Procedure - Antibiotic for Suspected Neonatal Sepsis
.... 11.19 Procedure - Assisted Ventilation Following Delivery
.... 11.20 Procedure - Assisted Ventilation More Than Six Hours
.... 11.21 Procedure - Surfactant Replacement Therapy
.... 11.22 Condition - Chorioamnionitis
.... 11.23 Observation - Administration of Steroids for Fetal Lung Maturation
.... 11.24 Observation - Antibiotics Administered During Labor
.... 11.25 Observation - None Of Specified Characteristics of Labor and Delivery
.... 11.26 Procedure - Augmentation of Labor
.... 11.27 Procedure - Epidural or Spinal Anesthesia
.... 11.28 Procedure - Induction of Labor
.... 11.29 Coverage - Principal Payer for Delivery
.... 11.30 Observation - Cigarette Smoking Before and During Pregnancy
.... 11.31 Observation - Date of First Prenatal Care Visit
.... 11.32 Observation - Date of Last Live Birth
.... 11.33 Observation - Date of Last Other Pregnancy Outcome
.... 11.34 Observation - Mother Recieved WIC Food
.... 11.35 Observation - Planned to Deliver at Home
.... 11.36 Condition - Infection Present During Pregnancy
.... 11.37 Observation - Labor Trial Attempted
.... 11.38 Procedure - Final Route and Method of Delivery
.... 11.39 Procedure - Obstetric
.... 11.40 Condition - Perineal Laceration
.... 11.41 Condition - Ruptured Uterus
.... 11.42 Observation - ICU Admission
.... 11.43 Observation - None Of Specified Maternal Morbidities
.... 11.44 Procedure - Blood Transfusion
.... 11.45 Procedure - Unplanned Hysterectomy
.... 11.46 Condition - Coded Initiating Fetal Death Cause or Condition
.... 11.47 Condition - Coded Other Fetal Death Cause or Condition
.... 11.48 Condition - Fetal Death Cause or Condition
.... 11.49 Condition - Fetal Death Other Cause or Condition
.... 11.50 Observation - Autopsy/Histological Exam Results Used
.... 11.51 Observation - Fetal Death Time Point
.... 11.52 Observation - Histological Placental Exam Performed
.... 11.53 Observation - Method of Disposition
.... 11.54 Observation - Mother Married During Pregnancy
.... 11.55 Observation - Paternity Acknowledgement Signed
.... 11.56 Observation - Social Security Number Requested For Child
.... 11.57 Observation - Edit Flag Birthweight
.... 11.58 Observation - Edit Flag Estimate of Gestation
.... 11.59 Observation - Edit Flag Father's Date of Birth
.... 11.60 Observation - Edit Flag Father's Education
.... 11.61 Observation - Edit Flag Mother's Date of Birth
.... 11.62 Observation - Edit Flag Mother's Delivery Weight
.... 11.63 Observation - Edit Flag Mother's Education
.... 11.64 Observation - Edit Flag Mother's Height
.... 11.65 Observation - Edit Flag Mother's Prepregnancy Weight
.... 11.66 Observation - Edit Flag Number of Previous Cesareans
.... 11.67 Observation - Edit Flag Number Prenatal Care Visits
.... 11.68 Observation - Edit Flag Plurality
.... 11.69 Extension - Date Filed by Registrar
.... 11.70 Extension - Date Received by Registrar
.... 11.71 Extension - Fetal Death Local File Number [FDRFN]
.... 11.72 Extension - Fetal Death Report Number
.... 11.73 Extension - Live Birth Certificate Number
.... 11.74 Extension - Live Birth Local File Number
.... 11.75 Extension - Replacement Status
.... 11.76 Bundle - Document Birth and Fetal Death
.... 11.77 Bundle - Jurisdiction Live Birth Report - Baby G Quinn
.... 11.78 Bundle - Provider Live Birth - Baby G Quinn
.... 11.79 Composition - Jurisdiction Live Birth Report - BabyG Quinn
.... 11.80 Composition - Provider Live Birth Report - BabyG Quinn
.... 11.81 QuestionnaireResponse - Mother's Worksheet for Child's Birth Certificate: Jada Ann Quinn
.... 11.82 Bundle - Jurisdiction Fetal Death Report - Fetus Not Named
.... 11.83 Bundle - Provider Fetal Death Report - Fetus Not Named
.... 11.84 Composition - Jurisdiction Fetal Death Report - Fetus Not Named
.... 11.85 Composition - Provider Fetal Death Report - Fetus Not Named
.... 11.86 QuestionnaireResponse - Patient's Fetal Death Worksheet: Carmen Lee
.... 11.87 Patient - Child - Vital Records - Baby G Quinn
.... 11.88 Patient - Mother - Vital Records - Carmen Teresa Lee
.... 11.89 Patient - Mother - Vital Records - Jada Ann Quinn
.... 11.90 US Core Location - East Hospital
.... 11.91 US Core Location - North Hospital
.... 11.92 US Core Location - South Hospital
.... 11.93 Patient - Decedent Fetus - Vital Records - Fetus Not Named
.... 11.94 Practitioner - Vital Records - Avery Jones, MD
.... 11.95 Practitioner - Vital Records - Janet Seito
.... 11.96 Practitioner - Vital Records - Jessica Leung
.... 11.97 RelatedPerson - Father Natural - Vital Records - James Brandon Quinn
.... 11.98 RelatedPerson - Father Natural - Vital Records - Tom Yan Lee
.... 11.99 RelatedPerson - Mother Gestational - Vital Records - Carmen Teresa Lee
.... 11.100 RelatedPerson - Mother Gestational - Vital Records - Jada Ann Quinn
.... 11.101 US Core Organization - South Hospital
.... 11.102 US Core Organization - Jurisdictional Vital Records Office
.... 11.103 US Core Organization - National Center for Health Statistics [NCHS]
.... 11.104 Encounter - Birth - Baby G Quinn
.... 11.105 Encounter - Maternity - Carmen Teresa Lee
.... 11.106 Encounter - Maternity - Jada Ann Quinn
.... 11.107 Condition - Chorioamnionitis - Jada Ann Quinn
.... 11.108 Observation - Administration of Steroids for Fetal Lung Maturation - Jada Ann Quinn
.... 11.109 Observation - Antibiotics Administered During Labor - Jada Ann Quinn
.... 11.110 Observation - None Of Specified Characteristics of Labor and Delivery - Jada Ann Quinn
.... 11.111 Procedure - Augmentation of Labor - Jada Ann Quinn
.... 11.112 Procedure - Epidural or Spinal Anesthesia - Jada Ann Quinn
.... 11.113 Procedure - Induction of Labor - Jada Ann Quinn
.... 11.114 Condition - Seizure - BabyG Quinn
.... 11.115 Observation - NICU Admission - BabyG Quinn
.... 11.116 Observation - None Of Specified Abnormal Conditions of Newborn - BabyG Quinn
.... 11.117 Procedure - Antibiotic for Suspected Neonatal Sepsis - BabyG Quinn
.... 11.118 Procedure - Assissted Ventilation Following Delivery - BabyG Quinn
.... 11.119 Procedure - Assisted Ventilation More Than Six Hours - BabyG Quinn
.... 11.120 Procedure - Surfactant Replacement - BabyG Quinn
.... 11.121 Condition - Perineal Laceration - Jada Ann Quinn
.... 11.122 Condition - Ruptured Uterus - Jada Ann Quinn
.... 11.123 Observation - ICU Admission - Jada Ann Quinn
.... 11.124 Observation - None Of Specified Maternal Morbidities - Jada Ann Quinn
.... 11.125 Procedure - Blood Transfusion - Jada Ann Quinn
.... 11.126 Procedure Unplanned Hysterectomy - Jada Ann Quinn
.... 11.127 Condition - Gestational Diabetes - Carmen Teresa Lee
.... 11.128 Condition - Gestational Diabetes - Jada Ann Quinn
.... 11.129 Condition - Gestational Hypertension - Jada Ann Quinn
.... 11.130 Condition - Prepregnancy Diabetes - Jada Ann Quinn
.... 11.131 Condition - Prepregnancy Hypertension - Carmen Teresa Lee
.... 11.132 Observation - Pregnancy Risk Factor - Jada Ann Quinn: Deliveries by Cesarean
.... 11.133 Procedure - Assisted Fertilization - Jada Ann Quinn
.... 11.134 Procedure - Infertility Treatment - Jada Ann Quinn
.... 11.135 Condition - Congenital Anomaly of Newborn - Baby G Quinn
.... 11.136 Condition - Congenital Anomaly of Newborn - BabyG Quinn
.... 11.137 Condition - Infection Present During Pregnancy - Jada Ann Quinn
.... 11.138 Coverage - Principal Payer for Delivery - Jada Ann Quinn
.... 11.139 Observation - Apgar Score - BabyG Quinn: 1 min
.... 11.140 Observation - Apgar Score - BabyG Quinn: 5 min
.... 11.141 Observation - Birth Weight - Baby G Quinn
.... 11.142 Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: 3 months prior
.... 11.143 Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: first 3 months
.... 11.144 Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: last 3 months
.... 11.145 Observation - Cigarette Smoking Before/During Pregnancy - Jada Ann Quinn: second 3 months
.... 11.146 Observation - Date of First Prenatal Care Visit - Jada Ann Quinn
.... 11.147 Observation - Date of Last Live Birth - Jada Ann Quinn
.... 11.148 Observation - Date of Last Other Pregnancy Outcome - Jada Ann Quinn
.... 11.149 Observation - Fetal Presentation - Baby G Quinn
.... 11.150 Observation - Gestational Age at Delivery - Baby G Quinn
.... 11.151 Observation - Infant Breastfed at Discharge - Baby G Quinn
.... 11.152 Observation - Infant Living - Baby G Quinn
.... 11.153 Observation - Labor Trial Attempted - Baby G Quinn
.... 11.154 Observation - Last Menstrual Period - Jada Ann Quinn
.... 11.155 Observation - Mother Delivery Weight - Jada Ann Quinn
.... 11.156 Observation - Mother Height - Jada Ann Quinn
.... 11.157 Observation - Mother Married During Pregnancy - Jada Ann Quinn
.... 11.158 Observation - Mother Prepregnancy Weight - Jada Ann Quinn
.... 11.159 Observation - Mother Received WIC Food - Jada Ann Quinn
.... 11.160 Observation - Number Births Now Dead - Jada Ann Quinn
.... 11.161 Observation - Number Births Now Living - Jada Ann Quinn
.... 11.162 Observation - Number Live Births This Delivery - Jada Ann Quinn
.... 11.163 Observation - Number Other Pregnancy Outcomes - Jada Ann Quinn
.... 11.164 Observation - Number Prenatal Visits - Jada Ann Quinn
.... 11.165 Observation - Number Previous Cesareans - Jada Ann Quinn
.... 11.166 Observation - Parent Education Level - Jada Ann Quinn
.... 11.167 Observation - Parent Education Level - James Quinn
.... 11.168 Observation - Paternity Acknowledgement Signed - James Quinn
.... 11.169 Observation - Planned to Deliver at Home - Baby G Quinn
.... 11.170 Observation - Plurality - Jada Ann Quinn
.... 11.171 Observation - SSN Requested for Child - BabyG Quinn
.... 11.172 Procedure - Final Route and Method of Delivery - Baby G Quinn
.... 11.173 Procedure - Obstetric Procedure - Jada Ann Quinn
.... 11.174 Condition - Coded Initiating Cause of Fetal Death
.... 11.175 Condition - Coded Other Cause of Fetal Death
.... 11.176 Condition - Fetal Death Cause or Condition - Fetus Not Named
.... 11.177 Condition - Fetal Death Other Cause or Condition - Fetus Not Named
.... 11.178 Observation - Autopsy or Histological Exam Results Used - Fetus Not Named
.... 11.179 Observation - Autopsy Performed - Fetus Not Named
.... 11.180 Observation - Birth Weight - Fetus Not Named
.... 11.181 Observation - Cigarette Smoking Before During Pregnancy - 3 months prior: Carmen Teresa Lee
.... 11.182 Observation - Cigarette Smoking Before During Pregnancy - first 3 months: Carmen Teresa Lee
.... 11.183 Observation - Cigarette Smoking Before During Pregnancy - last 3 months: Carmen Teresa Lee
.... 11.184 Observation - Cigarette Smoking Before During Pregnancy example - second 3 months: Carmen Teresa Lee
.... 11.185 Observation - Date of First Prenatal Care Visit - Carmen Teresa Lee
.... 11.186 Observation - Date of Last Live Birth - Carmen Teresa Lee
.... 11.187 Observation - Fetal Presentation - Fetus Not Named
.... 11.188 Observation - Gestational Age at Delivery - Fetus Not Named
.... 11.189 Observation - Histological Placental Exam Performed - Fetus Not Named
.... 11.190 Observation - Last Menstrual Period - Carmen Teresa Lee
.... 11.191 Observation - Method of Disposition - Fetus Not Named
.... 11.192 Observation - Mother Height - Carmen Teresa Lee
.... 11.193 Observation - Mother Prepregnancy Weight - Carmen Teresa Lee
.... 11.194 Observation - Mother Received WIC Food - Carmen Teresa Lee
.... 11.195 Observation - Number Live Births This Delivery - Carmen Teresa Lee
.... 11.196 Observation - Number of Births Now Dead - Carmen Teresa Lee
.... 11.197 Observation - Number of Births Now Living - Carmen Teresa Lee
.... 11.198 Observation - Number of Fetal Deaths This Delivery - Carmen Teresa Lee
.... 11.199 Observation - Observation Estimated Fetal Death Time Point - Fetus Not Named
.... 11.200 Observation - Parent Education Level - Carmen Teresa Lee
.... 11.201 Observation - Planned to Delivery at Home - Fetus Not Named
.... 11.202 Observation - Plurality - Carmen Teresa Lee
.... 11.203 Observations - Number Previous Cesareans - Carmen Teresa Lee
.... 11.204 Procedure - Final Route / Method of Delivery - Fetus Not Named
.... 11.205 Edit Flag - Birth Weight
.... 11.206 Edit Flag - Estimate of Gestation
.... 11.207 Edit Flag - Father's Birthdate
.... 11.208 Edit Flag - Father's Education
.... 11.209 Edit Flag - Mother's Birthdate
.... 11.210 Edit Flag - Mother's Delivery Weight
.... 11.211 Edit Flag - Mother's Education
.... 11.212 Edit Flag - Mother's Height
.... 11.213 Edit Flag - Mother's Prepregnancy Weight
.... 11.214 Edit Flag - Number Prenatal Care Visits
.... 11.215 Edit Flag - Number Previous Cesarians
.... 11.216 Edit Flag - Plurality
.... 11.217 Observation - Edit Flag Delivery Weight - Fetus Not Named
.... 11.218 Observation - Edit Flag Estimated Gestational Age - Decedent Not Named
.... 11.219 Observation - Edit Flag Mother's Date of Birth - Fetus Not Named
.... 11.220 Observation - Edit Flag Mother's Education - Fetus Not Named
.... 11.221 Observation - Edit Flag Mother's Height- Fetus Not Named
.... 11.222 Observation - Edit Flag Mother's Prepregnancy Weight - Decedent Not Named
.... 11.223 Observation - Edit Flag Number of Previous Cesareans - Decedent Not Named
.... 11.224 Observation - Edit Flag Plurality - Fetus Not Named
.... 11.225 Composition - Coded Cause of Fetal Death - Fetus Not Named
.... 11.226 Composition - Coded Race and Ethnicity - Fetus Not Named
.... 11.227 Observation - Race - Vital Records - Carmen Teresa Lee
.... 11.228 Observation - Race - Vital Records - James Quinn
.... 11.229 Observation - Race - Vital Records - Tom Yan Lee
.... 11.230 Observation - Race - Vital Records - Jada Ann Quinn
.... 11.231 Observation - Tabulated Ethnicity - Vital Records - Carmen Teresa Lee
.... 11.232 Observation - Tabulated Ethnicity - Vital Records - Jada Ann Quinn
.... 11.233 Observation - Tabulated Ethnicity - Vital Records - James Quinn
.... 11.234 Observation - Tabulated Ethnicity - Vital Records - Tom Yan Lee
.... 11.235 CapabilityStatement - Birth and Fetal Death
.... 11.236 Cigarette Smoking Before and During Pregnancy
.... 11.237 ValueSet - Replacement Status
.... 11.238 ValueSet - Yes No NotApplicable
.... 11.239 CodeSystem - Replacement Status
.... 11.240 USA SNOMED-CT