description: 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. package_name: hl7.fhir.us.bfdr derivation: constraint name: CompositionJurisdictionLiveBirthReport type: Composition elements: extension: mustSupport: true array: true min: 2 index: 0 slicing: rules: open discriminator: - {path: url, type: value} min: 2 slices: liveBirthCertificateNumber: match: {url: null} schema: {type: Extension, short: Birth Number, mustSupport: true, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number', index: 1} min: 1 max: 1 liveBirthLocalFileNumber: match: {url: null} schema: {type: Extension, short: Local File No., mustSupport: true, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number', index: 2} max: 1 dateFiledByRegistrar: match: {url: null} schema: {type: Extension, short: Date filed by registrar, mustSupport: true, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar', index: 3} min: 1 max: 1 replacementStatus: match: {url: null} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-replacement-status', index: 4} max: 1 status: {short: 'In the case of a live birth sent in error, a status of ''entered-in-error'' must be set.', mustSupport: true, index: 5} type: short: Jurisdiction live birth report Document mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 92011-6, system: 'http://loinc.org'} index: 6 subject: type: Reference short: The subject of the composition is the newborn baby mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr'] index: 7 encounter: type: Reference short: The Encounter for the Composition is the newborn's birth encounter. mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth'] index: 8 extensions: {} elements: extension: {type: Extension, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference', index: 9} date: {short: Date report completed, mustSupport: true, index: 10} author: type: Reference short: The author is the jurisdictional Vital Records Office. mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'] index: 11 section: short: The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. mustSupport: true index: 12 slicing: rules: open discriminator: - {path: code, type: pattern} min: 1 slices: motherPrenatal: match: code: coding: - {code: 57073-9, system: 'http://loinc.org'} schema: short: Mother (prenatal) section on the Live Birth Certificate mustSupport: true index: 13 elements: code: short: Prenatal records mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 57073-9, system: 'http://loinc.org'} index: 14 focus: type: Reference short: The focus of this section is the mother mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr'] index: 15 entry: short: Entries that are contained in the Mother Prenatal section mustSupport: true index: 16 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: 1 slices: dateLastLiveBirth: match: {} schema: short: Date of last live birth refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth'] type: Reference mustSupport: true index: 23 max: 1 mothersHeight: match: {} schema: short: Mother's height refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-height-vr'] type: Reference mustSupport: true index: 28 max: 1 dateLastNormalMenses: match: {} schema: short: Date last normal menses began refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-last-menstrual-period-vr'] type: Reference mustSupport: true index: 20 max: 1 firstPrenatalCareVisit: match: {} schema: short: First prenatal care visit refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit'] type: Reference mustSupport: true index: 18 max: 1 plannedToDeliverAtHome: match: {} schema: short: Planned to deliver at home refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-planned-to-deliver-at-home'] type: Reference mustSupport: true index: 17 max: 1 numberPrenatalCareVisits: match: {} schema: short: Number of prenatal care visits refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-prenatal-visits-vr'] type: Reference mustSupport: true index: 19 max: 1 numberOtherOutcomes: match: {} schema: short: Number of other pregnancy outcomes refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-other-pregnancy-outcomes-vr'] type: Reference mustSupport: true index: 24 max: 1 numberNowDead: match: {} schema: short: Number of previous live births now dead refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-dead-vr'] type: Reference mustSupport: true index: 22 max: 1 mothersPrepregnancyWeight: match: {} schema: short: Mother's prepregnancy weight refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-prepregnancy-weight-vr'] type: Reference mustSupport: true index: 29 max: 1 dateLastOtherOutcome: match: {} schema: short: Date of last other pregnancy outcome refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-other-pregnancy-outcome'] type: Reference mustSupport: true index: 25 max: 1 cigaretteSmokingBeforeDuringPregnancy: match: {} schema: short: Cigarettes smoked by the mother before and during the pregnancy refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy'] type: Reference mustSupport: true array: true max: 4 index: 31 max: 4 mothersWeightAtDelivery: match: {} schema: short: Mother's weight at delivery refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-delivery-weight-vr'] type: Reference mustSupport: true index: 27 max: 1 numberNowLiving: match: {} schema: short: Number of previous live births now living refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-living-vr'] type: Reference mustSupport: true index: 21 max: 1 motherReceivedWICFood: match: {} schema: short: Use of the WIC nutritional program by the mother refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-received-wic-food'] type: Reference mustSupport: true index: 30 max: 1 principalSourceOfPayment: match: {} schema: short: Principal source of payment for this delivery refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-for-delivery'] type: Reference mustSupport: true index: 26 max: 1 required: [entry, focus, code] medicalHealthInformation: match: code: coding: - {code: 55752-0, system: 'http://loinc.org'} schema: short: Medical and Health Information section on the Live Birth Certificate mustSupport: true index: 32 elements: code: short: Clinical information mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 55752-0, system: 'http://loinc.org'} index: 33 focus: type: Reference short: The focus of this section is the mother mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr'] index: 34 entry: short: Entries that are contained in the medical and health information section mustSupport: true index: 35 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: 1 slices: pregnancyRiskFactors: match: {} schema: type: Reference short: Risk factors in this pregnancy mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-eclampsia-hypertension-vr', 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-gestational-diabetes-vr', 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-gestational-hypertension-vr', 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-prepregnancy-diabetes-vr', 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Condition-prepregnancy-hypertension-vr', 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-none-of-specified-pregnancy-risk-factors-vr', 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-previous-cesarean-vr', 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-previous-preterm-birth-vr', 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-artificial-insemination-vr', 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-assisted-fertilization-vr', 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Procedure-infertility-treatment-vr'] index: 36 numberPreviousCesareans: match: {} schema: short: If mother had a previous cesarean delivery, how many refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-previous-cesareans-vr'] type: Reference mustSupport: true index: 37 max: 1 infectionsDuringPregnancy: match: {} schema: type: Reference short: Infections present and/or treated during this pregnancy mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy'] index: 38 obstetricProcedures: match: {} schema: short: Obstetric procedures refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric'] type: Reference mustSupport: true _required: true index: 39 min: 1 max: 1 characteristicsLaborDelivery: match: {} schema: type: Reference short: Characteristics of labor and delivery mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-chorioamnionitis', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-antibiotics-during-labor', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-characteristics-labor-delivery', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-steroids-fetal-lung-maturation', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-augmentation-of-labor', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-epidural-or-spinal-anesthesia', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-induction-of-labor'] index: 40 fetalPresentation: match: {} schema: short: Fetal presentation at birth refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation'] type: Reference mustSupport: true index: 41 max: 1 finalRouteMethodDelivery: match: {} schema: short: Final route and method of delivery refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery'] type: Reference mustSupport: true index: 42 max: 1 maternalMorbidity: match: {} schema: type: Reference short: Maternal morbidity (complications associated with labor and delivery) mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-perineal-laceration', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-ruptured-uterus', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-icu-admission', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-maternal-morbidities', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-blood-transfusion', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-unplanned-hysterectomy'] index: 43 required: [entry, focus, code] newbornInformation: match: code: coding: - {code: 57075-4, system: 'http://loinc.org'} schema: short: Newborn section on the Live Birth Certificate mustSupport: true index: 44 elements: code: short: Newborn delivery information mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 57075-4, system: 'http://loinc.org'} index: 45 entry: short: Entries that are contained in the newborn section mustSupport: true index: 46 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: 1 slices: birthWeight: match: {} schema: short: Birthweight refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-birth-weight-vr'] type: Reference mustSupport: true index: 47 max: 1 gestationalAgeAtDelivery: match: {} schema: short: Obstetric estimate of gestation refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-gestational-age-at-delivery-vr'] type: Reference mustSupport: true index: 48 max: 1 ApgarScore: match: {} schema: short: Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used. refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-apgar-score-vr'] type: Reference mustSupport: true array: true max: 2 index: 49 max: 2 numberLiveBirthsThisDelivery: match: {} schema: type: Reference short: Number of live births this delivery mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-live-births-this-delivery-vr'] index: 50 max: 1 abnormalConditionsNewborn: match: {} schema: type: Reference short: Abnormal conditions of the newborn mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-seizure', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-nicu-admission', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-abnormal-conditions-of-newborn', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-antibiotic-suspected-neonatal-sepsis', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-ventilation-following-delivery', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-ventilation-more-than-six-hours', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-surfactant-replacement-therapy'] index: 51 congenitalAnomaliesNewborn: match: {} schema: type: Reference short: Congenital anomolies of the newborn mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn'] index: 52 infantLiving: match: {} schema: short: Is infant living at time of report? refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-infant-living-vr'] type: Reference mustSupport: true index: 53 max: 1 infantBreastfedAtDischarge: match: {} schema: short: Is infant being breastfed at discharge? refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-breastfed-at-discharge'] type: Reference mustSupport: true index: 54 max: 1 required: [entry, code] motherInformation: match: code: coding: - {code: 92014-0, system: 'http://loinc.org'} schema: short: Mother administrative section on the Live Birth Certificate mustSupport: true index: 55 elements: code: short: Mother's administrative information mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 92014-0, system: 'http://loinc.org'} index: 56 focus: type: Reference short: The focus of this section is the mother mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr'] index: 57 entry: short: Entries that are contained in the motherInformation section mustSupport: true index: 58 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: 1 slices: marriedDuringPregnancy: match: {} schema: short: Mother married during pregnancy refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy'] type: Reference mustSupport: true index: 59 max: 1 ssnRequestedForChild: match: {} schema: short: Was social security number requested for the child refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-ssn-requested-for-child'] type: Reference mustSupport: true index: 60 max: 1 mothersEducation: match: {} schema: short: Mother's education refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level-vr'] type: Reference mustSupport: true index: 61 max: 1 required: [entry, focus, code] fatherInformation: match: code: coding: - {code: 92013-2, system: 'http://loinc.org'} schema: short: Father section on the Live Birth Certificate mustSupport: true index: 62 elements: code: short: Father's administrative information mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 92013-2, system: 'http://loinc.org'} index: 63 focus: type: Reference short: The focus of this section is the father mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr'] index: 64 entry: short: Entries that are contained in the fatherInformation section mustSupport: true index: 65 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: 1 slices: paternityAcknowledgementSigned: match: {} schema: short: Paternity acknowledgement signed by father refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed'] type: Reference mustSupport: true index: 66 max: 1 fathersEducation: match: {} schema: short: Father's education refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level-vr'] type: Reference mustSupport: true index: 67 max: 1 required: [entry, focus, code] EditFlags: match: code: coding: - {code: 92012-4, system: 'http://loinc.org'} schema: short: Edit Flags Section mustSupport: true _required: true index: 68 elements: code: short: Edit flags section mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 92012-4, system: 'http://loinc.org'} index: 69 entry: mustSupport: true array: true min: 12 max: 12 index: 70 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: 12 max: 12 slices: editFlagPlurality: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-plurality'] _required: true index: 82 min: 1 max: 1 editFlagFathersEducation: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-fathers-education'] _required: true index: 74 min: 1 max: 1 editFlagMothersDateOfBirth: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-date-of-birth'] _required: true index: 75 min: 1 max: 1 editFlagMothersHeight: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-height'] _required: true index: 78 min: 1 max: 1 editFlagEstimateOfGestation: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-estimate-of-gestation'] _required: true index: 72 min: 1 max: 1 editFlagMothersDeliveryWeight: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-delivery-weight'] _required: true index: 76 min: 1 max: 1 editFlagNumberPreviousCesareans: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-number-previous-cesareans'] _required: true index: 81 min: 1 max: 1 editFlagBirthweight: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-birthweight'] _required: true index: 71 min: 1 max: 1 editFlagMothersEducation: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-education'] _required: true index: 77 min: 1 max: 1 editFlagNumberPrenatalCareVisits: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-number-prenatal-care-visits'] _required: true index: 80 min: 1 max: 1 editFlagMothersPrepregnancyWeight: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-prepregnancy-weight'] _required: true index: 79 min: 1 max: 1 editFlagFathersDateOfBirth: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-fathers-date-of-birth'] _required: true index: 73 min: 1 max: 1 required: [code] package_version: 1.1.0 extensions: liveBirthCertificateNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number', min: 1, max: 1, type: Extension, short: Birth Number, mustSupport: true, index: 1} liveBirthLocalFileNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number', max: 1, type: Extension, short: Local File No., mustSupport: true, index: 2} dateFiledByRegistrar: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar', min: 1, max: 1, type: Extension, short: Date filed by registrar, mustSupport: true, index: 3} replacementStatus: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-replacement-status', max: 1, type: Extension, mustSupport: true, index: 4} class: profile kind: resource url: http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-jurisdiction-live-birth-report base: http://hl7.org/fhir/StructureDefinition/Composition version: 1.1.0 required: [section, subject]