description: 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.
package_name: hl7.fhir.us.bfdr
derivation: constraint
name: CompositionProviderLiveBirthReport
type: Composition
elements:
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: 1
      slices:
        liveBirthCertificateNumber:
          match: {url: null}
          schema: {type: Extension, short: Birth Number, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number', index: 1}
          min: 0
          max: 1
        liveBirthLocalFileNumber:
          match: {url: null}
          schema: {type: Extension, short: Local File No., url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number', index: 2}
          min: 0
          max: 1
        dateFiledByRegistrar:
          match: {url: null}
          schema: {type: Extension, short: Date filed by registrar, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar', index: 3}
          min: 1
          max: 1
  status: {short: 'In the case of a live birth sent in error, a status of ''entered-in-error'' must be set.', index: 4}
  type:
    short: U.S. standard certificate of live birth - 2003 revision
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 68998-4, system: 'http://loinc.org'}
    index: 5
  subject:
    type: Reference
    short: The subject of the composition is the newborn baby
    refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr']
    index: 6
  encounter:
    type: Reference
    short: The Encounter for the Composition is the newborn's birth encounter.
    refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth']
    index: 7
    extensions: {}
    elements:
      extension: {type: Extension, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference', index: 8}
  date: {short: Date report completed, index: 9}
  author:
    type: Reference
    short: The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
    refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr']
    index: 10
  section:
    short: The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate.
    index: 11
    slicing:
      rules: open
      discriminator:
      - {path: code, type: pattern}
      min: 1
      slices:
        motherPrenatal:
          match:
            code:
              coding:
              - {code: 57073-9, system: 'http://loinc.org'}
          schema:
            short: motherPrenatal Section on the Provider Live Birth Report
            index: 12
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 57073-9, system: 'http://loinc.org'}
                index: 13
              focus:
                type: Reference
                short: The focus of this section is the mother
                refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr']
                index: 14
              entry:
                short: Entries that are contained in the motherPrenatal Section
                index: 15
                slicing:
                  rules: open
                  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
                        index: 22
                      min: 0
                      max: 1
                    mothersHeight:
                      match: {}
                      schema:
                        short: Mother's height
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-height']
                        type: Reference
                        index: 27
                      min: 0
                      max: 1
                    dateLastNormalMenses:
                      match: {}
                      schema:
                        short: Date last normal menses began
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-last-menstrual-period']
                        type: Reference
                        index: 19
                      min: 0
                      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
                        index: 17
                      min: 0
                      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
                        index: 16
                      min: 0
                      max: 1
                    numberPrenatalCareVisits:
                      match: {}
                      schema:
                        short: Number of prenatal care visits
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-prenatal-visits']
                        type: Reference
                        index: 18
                      min: 0
                      max: 1
                    numberOtherOutcomes:
                      match: {}
                      schema:
                        short: Number of other pregnancy outcomes
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-other-pregnancy-outcomes']
                        type: Reference
                        index: 23
                      min: 0
                      max: 1
                    numberNowDead:
                      match: {}
                      schema:
                        short: Number of previous live births now dead
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-dead']
                        type: Reference
                        index: 21
                      min: 0
                      max: 1
                    mothersPrepregnancyWeight:
                      match: {}
                      schema:
                        short: Mother's prepregnancy weight
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-prepregnancy-weight']
                        type: Reference
                        index: 28
                      min: 0
                      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
                        index: 24
                      min: 0
                      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
                        array: true
                        max: 4
                        index: 30
                      min: 0
                      max: 4
                    mothersWeightAtDelivery:
                      match: {}
                      schema:
                        short: Mother's weight at delivery
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-delivery-weight']
                        type: Reference
                        index: 26
                      min: 0
                      max: 1
                    numberNowLiving:
                      match: {}
                      schema:
                        short: Number of previous live births now living
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-living']
                        type: Reference
                        index: 20
                      min: 0
                      max: 1
                    motherReceivedWICFood:
                      match: {}
                      schema:
                        short: Use
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-received-wic-food']
                        type: Reference
                        index: 29
                      min: 0
                      max: 1
                    principalSourceOfPayment:
                      match: {}
                      schema:
                        short: Principal source of payment for this delivery
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-delivery']
                        type: Reference
                        index: 25
                      min: 0
                      max: 1
            required: [focus, code]
        medicalHealthInformation:
          match:
            code:
              coding:
              - {code: 55752-0, system: 'http://loinc.org'}
          schema:
            short: medicalHealthInformation Section on the Provider Live Birth Report
            index: 31
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 55752-0, system: 'http://loinc.org'}
                index: 32
              focus:
                type: Reference
                short: The focus of this section is the mother
                refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr']
                index: 33
              entry:
                short: Entries that are contained in the medicalHealthInformation Section
                index: 34
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    pregnancyRiskFactors:
                      match: {}
                      schema:
                        short: Risk factors in this pregnancy
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-eclampsia-hypertension', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-diabetes', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-hypertension', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-diabetes', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-hypertension', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-pregnancy-risk-factors', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-previous-cesarean', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-previous-preterm-birth', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-artificial-insemination', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-fertilization', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-infertility-treatment']
                        type: Reference
                        array: true
                        index: 35
                      min: 0
                    numberPreviousCesareans:
                      match: {}
                      schema:
                        short: If mother had a previous cesarean delivery, how many
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-previous-cesareans']
                        type: Reference
                        index: 36
                      min: 0
                      max: 1
                    infectionsDuringPregnancy:
                      match: {}
                      schema:
                        short: Infections present and/or treated during this pregnancy
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-no-infections-present-during-pregnancy']
                        type: Reference
                        array: true
                        index: 37
                      min: 0
                    obstetricProcedures:
                      match: {}
                      schema:
                        short: Obstetric procedures
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-obstetric-procedures', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric']
                        type: Reference
                        index: 38
                      min: 0
                      max: 1
                    characteristicsLaborDelivery:
                      match: {}
                      schema:
                        short: Characteristics of labor and delivery
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-chorioamnionitis', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-antibiotics-administered-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']
                        type: Reference
                        array: true
                        index: 39
                      min: 0
                    fetalPresentation:
                      match: {}
                      schema:
                        short: Fetal presentation at birth
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation']
                        type: Reference
                        index: 40
                      min: 0
                      max: 1
                    finalRouteMethodDelivery:
                      match: {}
                      schema:
                        short: Final route and method of delivery
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-unknown-final-route-and-method-of-delivery', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery']
                        type: Reference
                        index: 41
                      min: 0
                      max: 1
                    maternalMorbidity:
                      match: {}
                      schema:
                        short: Maternal morbidity - complications associated with labor and delivery
                        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']
                        type: Reference
                        array: true
                        index: 42
                      min: 0
            required: [focus, code]
        newbornInformation:
          match:
            code:
              coding:
              - {code: 57075-4, system: 'http://loinc.org'}
          schema:
            short: newbornInformation Section on the Provider Live Birth Report
            index: 43
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 57075-4, system: 'http://loinc.org'}
                index: 44
              entry:
                short: Entries that are contained in the newbornInformation Section
                index: 45
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    birthWeight:
                      match: {}
                      schema:
                        short: Birthweight
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight']
                        type: Reference
                        index: 46
                      min: 0
                      max: 1
                    gestationalAgeAtDelivery:
                      match: {}
                      schema:
                        short: Obstetric estimate of gestation
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-gestational-age-at-delivery']
                        type: Reference
                        index: 47
                      min: 0
                      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/bfdr/StructureDefinition/Observation-apgar-score']
                        type: Reference
                        array: true
                        max: 2
                        index: 48
                      min: 0
                      max: 2
                    numberLiveBirthsThisDelivery:
                      match: {}
                      schema:
                        short: Number of live births this delivery
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-live-births-this-delivery']
                        type: Reference
                        index: 49
                      min: 0
                      max: 1
                    abnormalConditionsNewborn:
                      match: {}
                      schema:
                        short: Abnormal conditions of the newborn
                        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']
                        type: Reference
                        array: true
                        index: 50
                      min: 0
                    congenitalAnomaliesNewborn:
                      match: {}
                      schema:
                        short: Congenital anomolies of the newborn
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-None-congenital-anomolies-of-the-newborn']
                        type: Reference
                        array: true
                        index: 51
                      min: 0
                    infantLiving:
                      match: {}
                      schema:
                        short: Is infant living at time of report?
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-living']
                        type: Reference
                        index: 52
                      min: 0
                      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
                        index: 53
                      min: 0
                      max: 1
            required: [code]
        motherInformation:
          match:
            code:
              coding:
              - {code: 92014-0, system: 'http://loinc.org'}
          schema:
            short: motherInformation Section on the Provider Live Birth Report
            index: 54
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 92014-0, system: 'http://loinc.org'}
                index: 55
              focus:
                type: Reference
                short: The focus of this section is the mother
                refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr']
                index: 56
              entry:
                short: Entries that are contained in the motherInformation Section
                index: 57
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    marriedDuringPregnancy:
                      match: {}
                      schema:
                        short: Mother married during pregnancy
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy']
                        type: Reference
                        index: 58
                      min: 0
                      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
                        index: 59
                      min: 0
                      max: 1
                    mothersEducation:
                      match: {}
                      schema:
                        short: Mother's education
                        refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr']
                        type: Reference
                        index: 60
                      min: 0
                      max: 1
                    mothersUsualWork:
                      match: {}
                      schema:
                        short: Mother's Usual Work
                        refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-usual-work-vr']
                        type: Reference
                        index: 61
                      min: 0
                      max: 1
                    mothersRaceEthnicity:
                      match: {}
                      schema:
                        short: Mother's Input Race and Ethnicity
                        refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr']
                        type: Reference
                        index: 62
                      min: 0
                      max: 1
            required: [focus, code]
        fatherInformation:
          match:
            code:
              coding:
              - {code: 92013-2, system: 'http://loinc.org'}
          schema:
            short: fatherInformation Section on the Provider Live Birth Report
            index: 63
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 92013-2, system: 'http://loinc.org'}
                index: 64
              focus:
                type: Reference
                short: The focus of this section is the father
                refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr']
                index: 65
              entry:
                short: Entries that are contained in the fatherInformation Section
                index: 66
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    paternityAcknowledgementSigned:
                      match: {}
                      schema:
                        short: Paternity acknowledgement signed by father
                        refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed']
                        type: Reference
                        index: 67
                      min: 0
                      max: 1
                    fathersEducation:
                      match: {}
                      schema:
                        short: Father's education
                        refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr']
                        type: Reference
                        index: 68
                      min: 0
                      max: 1
                    fathersUsualWork:
                      match: {}
                      schema:
                        short: Father's Usual Work
                        refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-usual-work-vr']
                        type: Reference
                        index: 69
                      min: 0
                      max: 1
                    fathersRaceEthnicity:
                      match: {}
                      schema:
                        short: Father's Input Race and Ethnicity
                        refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr']
                        type: Reference
                        index: 70
                      min: 0
                      max: 1
            required: [focus, code]
        patientsQuestionnaireResponse:
          match:
            code:
              coding:
              - {code: 74465-6, system: 'http://loinc.org'}
          schema:
            short: Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
            index: 71
            elements:
              code:
                short: Questionnaire response Document
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 74465-6, system: 'http://loinc.org'}
                index: 72
              entry:
                type: Reference
                short: QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
                refers: ['http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse']
                index: 73
            required: [entry, code]
        emergingIssues:
          match:
            code:
              coding:
              - {code: emergingissues, system: 'http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr'}
          schema:
            short: emergingIssues Section on the Provider Live Birth Report
            index: 74
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: emergingissues, system: 'http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr'}
                index: 75
              entry:
                short: Entries that are contained in the emergingIssues Section
                index: 76
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    EmergingIssues:
                      match: {}
                      schema:
                        short: Emerging Issues
                        refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr']
                        type: Reference
                        index: 77
                      min: 0
                      max: 1
            required: [code]
package_version: 2.0.0-ballot
extensions:
  liveBirthCertificateNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number', min: 0, max: 1, type: Extension, short: Birth Number, index: 1}
  liveBirthLocalFileNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number', min: 0, max: 1, type: Extension, short: Local File No., 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, index: 3}
class: profile
kind: resource
url: http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-live-birth-report
base: http://hl7.org/fhir/StructureDefinition/Composition
version: 2.0.0-ballot
required: [extension, section, subject]