description: This Composition profile contains information of a fetal death and the creation of a jurisdictional file to be recorded and communicated to NCHS.\n\nThe data requirements for jurisdictional reporting of fetal deaths are based on the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death. package_name: hl7.fhir.us.bfdr derivation: constraint name: CompositionJurisdictionFetalDeathReport type: Composition elements: extension: index: 0 slicing: rules: open discriminator: - {path: url, type: value} min: null slices: sliceFetalDeathReportId: match: {url: null} schema: {type: Extension, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-id', index: 1} max: 1 sliceFetalDeathReportFileNumber: match: {url: null} schema: {type: Extension, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-file-number', index: 2} max: 1 dateReceivedByRegistrar: match: {url: null} schema: {type: Extension, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar', index: 3} min: 1 max: 1 type: short: Jurisdiction fetal death report Document pattern: type: CodeableConcept value: coding: - {code: 92010-8, system: 'http://loinc.org'} index: 4 subject: type: Reference short: The subject of the composition is the decedent fetus refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-decedent-fetus'] index: 5 encounter: type: Reference short: The Encounter for the Composition is the mother's maternity encounter. mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity'] index: 6 date: {short: Date report completed, mustSupport: true, index: 7} author: index: 8 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: personCompletingReport: match: {} schema: short: The person who completed the report. refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-live-birth-fetal-death'] type: Reference mustSupport: true _required: true index: 9 min: 1 max: 1 section: short: The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. index: 10 slicing: rules: open discriminator: - {path: code, type: pattern} min: null slices: motherPrenatal: match: code: coding: - {code: 57073-9, system: 'http://loinc.org'} schema: short: Mother (prenatal) Section on the Fetal Death Report mustSupport: true index: 11 elements: code: short: Prenatal records pattern: type: CodeableConcept value: coding: - {code: 57073-9, system: 'http://loinc.org'} index: 12 focus: type: Reference short: The focus of this section is the mother refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother'] index: 13 entry: short: Entries that are contained in the Mother Prenatal section index: 14 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: null 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: 20 max: 1 mothersHeight: match: {} schema: short: Mother's height refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-height'] type: Reference mustSupport: true index: 21 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'] type: Reference mustSupport: true index: 17 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: 16 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: 15 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'] type: Reference mustSupport: true index: 19 max: 1 mothersPrepregnancyWeight: match: {} schema: short: Mother's prepregnancy weight refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-prepregnancy-weight'] type: Reference mustSupport: true index: 22 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: 24 max: 4 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'] type: Reference mustSupport: true index: 18 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: 23 max: 1 medicalHealthInformation: match: code: coding: - {code: 55752-0, system: 'http://loinc.org'} schema: short: Medical and Health Information Section on the Fetal Death Report mustSupport: true index: 25 elements: code: short: Clinical information pattern: type: CodeableConcept value: coding: - {code: 55752-0, system: 'http://loinc.org'} index: 26 focus: type: Reference short: The focus of this section is the mother refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother'] index: 27 entry: short: Entries that are contained in the medical and health information section index: 28 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: null slices: pregnancyRiskFactors: match: {} schema: type: Reference short: Risk factors in this pregnancy mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-pregnancy-risk-factor'] index: 29 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'] type: Reference mustSupport: true index: 30 max: 1 fetalPresentation: match: {} schema: short: Fetal presentation at birth refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-presentation'] type: Reference mustSupport: true index: 31 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: 32 max: 1 trialLaborAttempted: match: {} schema: short: If cesearean, was a trial of labor attempted? refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-labor-trial-attempted'] type: Reference mustSupport: true index: 33 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-maternal-morbidity'] index: 34 fetus: match: code: coding: - {code: 76400-1, system: 'http://loinc.org'} schema: short: Fetus Section on the Fetal Death Report mustSupport: true index: 35 elements: code: short: Fetal delivery information Document [US Standard Report of Fetal Death] pattern: type: CodeableConcept value: coding: - {code: 76400-1, system: 'http://loinc.org'} index: 36 entry: short: Entries that are contained in the fetus section index: 37 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: null slices: deliveryWeight: match: {} schema: short: Delivery weight refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-birth-weight'] type: Reference mustSupport: true index: 38 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'] type: Reference mustSupport: true index: 39 max: 1 causeOfFetalDeath: match: {} schema: short: Initiating cause or condition of fetal death refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-cause-or-condition'] type: Reference mustSupport: true index: 40 max: 1 otherCauseOfDeath: match: {} schema: type: Reference short: Another significant cause or condition for the death of the fetus. mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-other-cause-or-condition'] index: 41 autopsyPerformed: match: {} schema: short: An indication if an autopsy has been performed on the subject. refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-autopsy-performed'] type: Reference mustSupport: true index: 42 max: 1 histologicalExamPerformed: match: {} schema: short: Whether or not a histological placental examination was performed. refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-histological-placental-exam-performed'] type: Reference mustSupport: true index: 43 max: 1 autopsyOrHistologicalExamUsed: match: {} schema: short: 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. refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-autopsy-histological-exam-results-used'] type: Reference mustSupport: true index: 44 max: 1 plurality: match: {} schema: short: Plurality - Single, Twin, Triplet, etc. refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-plurality'] type: Reference mustSupport: true index: 45 max: 1 motherInformation: match: code: coding: - {code: 92014-0, system: 'http://loinc.org'} schema: short: Mother Administrative Section on the Fetal Death Report mustSupport: true index: 46 elements: code: short: Mother's administrative information pattern: type: CodeableConcept value: coding: - {code: 92014-0, system: 'http://loinc.org'} index: 47 focus: type: Reference short: The focus of this section is the mother refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother'] index: 48 entry: short: Entries that are contained in the Mother Information section index: 49 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: null slices: mothersEducation: match: {} schema: short: Mother's Education refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level'] type: Reference mustSupport: true index: 50 max: 1 EditFlags: match: code: coding: - {code: 92012-4, system: 'http://loinc.org'} schema: short: Edit Flags Section mustSupport: true _required: true index: 51 elements: code: short: Edit flags section pattern: type: CodeableConcept value: coding: - {code: 92012-4, system: 'http://loinc.org'} index: 52 entry: index: 53 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: editFlagBirthweight: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-birthweight'] _required: true index: 54 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: 55 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: 56 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: 57 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: 58 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: 59 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: 60 min: 1 max: 1 editFlagPlurality: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-plurality'] _required: true index: 61 min: 1 max: 1 required: [code] package_version: 0.1.0 extensions: sliceFetalDeathReportId: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-id', max: 1, type: Extension, index: 1} sliceFetalDeathReportFileNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-file-number', max: 1, type: Extension, index: 2} dateReceivedByRegistrar: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar', min: 1, max: 1, type: Extension, index: 3} class: profile kind: resource url: http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-jurisdiction-fetal-death-report base: http://hl7.org/fhir/StructureDefinition/Composition version: 0.1.0 required: [subject]