This Patient profile represents the subject patient (newborn/infant/child) for whom clinical data is included in the report.

This Patient profile represents a delivered fetus for which clinical data is included in the report.

This Patient profile represents the woman who gave birth to, or delivered the infant.

This Practitioner profile represents a practitioner who is involved in vital records (births, fetal death, death, etc.) as a certifier or an attendant. This profile is based on the US Core Practitioner and adds a further constraint to capture the title of the practitioner.

This RelatedPerson profile contains constraints common to the Mother and Father profiles.

This RelatedPerson profile represents the father of the subject (patient). Different individuals may play different roles as the father (e.g., biological father, adoptive father, etc.).

This RelatedPerson profile represents the biological (natural) father of the newborn or fetus.

This RelatedPerson profile represents the mother of the report subject. Different individuals may play different roles as the mother (e.g., biological mother, adoptive mother, etc.).

This RelatedPerson profile represents the woman who gave birth to or delivered the infant. The RelatedPerson structure is required in order to link the mother to the newborn or fetus.

This Observation represents the Apgar score post-birth.

This Observation profile represents the weight of the infant/fetus at birth/delivery.

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

This Observation profile represents whether the infant is living at the time the report is being submitted.

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

This Observation profile represents the weight of the mother at the time of birth/delivery.

This Observation profile represents the height of the mother.

This Observation profile represents the weight of the mother before becoming pregnant.

This Observation profile represents the total number of previous live-born infants for the mother now dead.

This Observation profile represents the total number of previous live-born infants for the mother now living.

This Observation profile represents the number of fetal deaths in this delivery.

This Observation profile represents the number of live births in this delivery.

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

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

This Observation profile represents the total number of prior cesarean deliveries for the mother.

This Observation profile represents the highest degree or level of schooling completed by the parent.

This Observation profile represents the number of fetuses delivered live or dead at any time in the pregnancy regardless of gestational age, or if the fetuses were delivered at different dates in the pregnancy.

This Observation profile represents a single race code assigned to the person. If the value is unknown, set dataAbsentReason to “unknown”.

This Observation profile represents the ethnic affiliation information for the mother or father. The observation will convey, as coded data, information that is provided in text form. If the value is unknown, set dataAbsentReason to “unknown”.

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

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

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

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

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

This Observation profile indicates that none of the specified pregnancy risk factors (including concept codes: 73211009, 11687002, 8762007, 48194001, 15938005, 161765003, 271903000, 63487001, 58533008, 63487001, 200144004) were risks factors noted for this pregnancy.

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

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

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

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

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

This Extension profile represents values of a partial date.

The fetal death status of the patient.

This Extension profile represents the registered place of birth for the related person. A system may use the address.text if it doesn’t store the birthPlace address in discrete elements.

This Extension profile represents the deceased indicator for a RelatedPerson. Deceased date/time is preferred.

This Extension profile represents the reported age of the parent (either the gestational mother or the natural father - as defined by NCHS) at the delivery time of the newborn or fetus. A reference to either the Patient - Mother - Vital Records or the RelatedPerson - Father Natural - Vital Records represents the parent. It can optionally contain a reference to the reporter (US Core Patient Profile or US Core RelatedPerson Profile).

This Extension profile is used to indicate whether or not an address is within city limits. The content of the component shall be a value from the value set Yes No Unknown.

This Location profile records the location of death. It is based on US Core Location and further constrains the type element to indicate that this is the location of death.

This Location profile records the location of an injury. It is based on US Core Location and further constrains the type element to indicate that this is the location of an injury.

This Observation profile represents if an autopsy was performed, if autopsy findings are available, and the autopsy performer (US Core Practioner).

This Observation profile represents the ordered causes of death asserted by the death certifier. The cause of death is initially specified with text.

This Observation profile represents represents factors contributing to the cause of death as asserted by the death certifier.

This Observation profile represents the death date, death pronouncer, and date pronounced dead. If the actual date of death is known, set value to type dateTime. If the date of death is not known, and a range is known, set value to type Period.

This Observation profile represents the pregnancy status of the decedent.

This Observation profile represents the certified explanation of how the injury leading to death occurred.

This Observation profile represents the conclusion arrived at upon completion of death investigation regarding the manner of death (e.g., natural, homicide, suicide, accident).

This Observation profile represents the conclusion arrived at during death investigation regarding the extent to which tobacco use contributed to the death of the decedent.

This Procedure profile records the certification of death by the certifier.

This Parameters profile contains coding status values that represent various status flags that result from the coding process.

This Extension profile represents the day portion (DD) of the partial date.

This Extension profile represents the month portion (MM) of the partial date.

This Extension profile represents the time portion (DD) of the partial date.

This Extension profile represents the year portion (YYYY) of the partial date.

This Extension profile represents Provides values of a partial dateTime

Patient - Child: Baby G Quinn example

Patient - Decedent Fetus: Fetus Not Named

Patient - Mother: Carmen Teresa Lee example

Patient - Mother: Carmen Teresa Lee DOB Part Absent

Patient - Mother: Jada Ann Quinn example

Practitioner - Vital Records: Janet Seito example

RelatedPerson - Adoptive Father: Tony Lewis example

RelatedPerson - Adoptive Mother: Carol Hoffer example

RelatedPerson - Father: Tom Yan Lee example

RelatedPerson - Father Natural: Tom Yan Lee example

RelatedPerson - Mother Gestational: Carmen Teresa Lee example

RelatedPerson - Stepmother: example

Observation - Apgar Score: Baby G Quinn-5 min example

Observation - Birth Weight: Baby G Quinn example

Observation - Gestational Age at Delivery: Baby G Quinn example

Observation - Gestational Age at Delivery: Fetus Not Named example

Observation - Infant Living: Baby G Quinn example

Observation - Last Menstrual Period: Carmen Teresa Lee example

Observation - Mother Delivery Weight: Jada Ann Quinn example

Observation - Mother Height: Carmen Teresa Lee example

Observation - Mother Prepregnancy Weight: Carmen Teresa Lee example

Observation - Number Births Now Dead: Carmen Teresa Lee example

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

Observation - Number Prenatal Visits: Jada Ann Quinn example

Observation - Number Previous Cesareans: Carmen Teresa Lee example

Observation - Parent Education Level: Carmen Teresa Lee example

Observation - Parent Education Level: Carmen Teresa Lee example

Observation - Plurality: Carmen Teresa Lee example

Observation - Race: Jada Ann Quinn example

Observation - Tabulated Ethnicity: Jada Ann Quinn example

Condition - Eclampsia Hypertension: Jada Ann Quinn 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: Jada Ann Quinn example

Observation - Birth Weight: Fetus Not Named example

Observation - Previous Cesarean: Jada Ann Quinn example

Observation - Previous Cesarean: Jada Ann Quinn example

Observation - Previous Preterm Births: Jada Ann Quinn example

Procedure - Assisted Fertilization: Jada Ann Quinn example

Procedure - Infertility Treatment: Jada Ann Quinn example

Prodecure - Artificial Insemniation: Jada Ann Quinn example

Observation - Autopsy Performed: Fetus Not Named example

Observation - Autopsy Performed Indicator: A Freeman example

Observation - Cause of Death Part 1: Freeman example

Observation - Contributing Cause of Death Part 2: Freeman example

Observation - Death Date: Freeman example

Observation - Decedent Pregnancy: Freeman example

Observation - Injury Incident: Freeman example

Observation - Manner of Death: A Freeman, accidental example

Observation - Tobacco Use: A Freeman example

Procedure - Death Certification: A Freeman example

US Core Patient: Freeman example

US Core Patient: Unknown Name example

US Core Practitioner: J Jones example

US Core Practitioner: S Jones example

Location - Death - Atlanta GA: Freeman example

Location - Injury - Atlanta GA: Freeman example

This CodeSystem contains values representing intentional rejects.

This CodeSystem contains codes that represent local component codes for observation components that lack an appropriate LOINC code.

This CodeSystem contains code representing system rejects.

This CodeSystem contains codes representing transax conversions.

This CodeSystem contains codes that represent whether the decedent was pregnant at or around the time of death. Includes the concepts defined in Pregnancy Status (NCHS)[2.16.840.1.114222.4.11.6003] which are from the PHIN VS (CDC Local Coding System)[2.16.840.1.114222.4.5.274]

This CodeSystem contains codes for use in death investigations and reporting.

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

This ValueSet contains codes to represent the type of certifier (Medical Examiner/Coroner, Certifying physician, etc.) The MDI ValueSet - Certifier Types artifact overlaps with the VRDR Certifier Types VS artifact.

This ValueSet contains codes that represent persons for whom education level can be reported.

This ValueSet contains codes that represent relationships describing the father’s role relative to the subject.

This ValueSet contains codes that represent relationships describing the mother’s role relative to the subject.

This ValueSet contains codes representing intentional rejects.

This ValueSet contains codes representing system rejects.

This ValueSet contains codes representing transax conversions.

This ValueSet contains codes that represent the extent to which tobacco use contributed to the person’s death. Based on Contributory Tobacco Use (NCHS)[2.16.840.1.114222.4.11.6004]. The MDI ValueSet - Contributory Tobacco Use artifact overlaps with the VRDR Tobacco Use Contributed To Death artifact.

This ValueSet contains codes that describe the approach to establishing a date.

This ValueSet contains codes that represent whether the decedent was pregnant at or around the time of death. Based on Pregnancy Status (NCHS)[2.16.840.1.114222.4.11.6003].

This ValueSet contains codes to represent the manner in which a person died.

This ValueSet contains codes that represent the death location of the decedent (e.g., hospital, home, hospice).

This ValueSet contains codes representing the role of the decedent in a transportation incident resulting in a death-related injury.

This ValueSet contains codes representing the units used when recording age (days, years, etc.).

This ValueSet contains codes used to respond to any question that can be answered Yes, No, or Not Applicable. Based on Yes No Not Applicable (NCHS)[2.16.840.1.114222.4.11.7486]

This ValueSet contains codes used to respond to any question that can be answered Yes, No, or Unknown.

This ValueSet contains codes used to respond to any question that can be answered Yes, No, Unknown, or Not Applicable.

Parameters - Coding Status Values example

References US SNOMED CT version