description: This Composition profile contains information of a fetal death and the creation of a jurisdictional file to be recorded and communicated to the national statistics agency. package_name: hl7.fhir.us.bfdr derivation: constraint name: CompositionJurisdictionFetalDeathReport type: Composition elements: status: {short: 'In the case of a fetal death sent in error, a status of ''entered-in-error'' must be set.', index: 0} type: short: Jurisdiction fetal death report Document pattern: type: CodeableConcept value: coding: - {code: 92010-8, system: 'http://loinc.org'} index: 1 subject: type: Reference short: The subject of the composition is the decedent fetus refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Patient-decedent-fetus'] index: 2 encounter: type: Reference short: The Encounter for the Composition is the mother's maternity encounter. refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity'] index: 3 date: {short: Date report completed, index: 4} author: type: Reference short: The author is the jurisdictional Vital Records Office. refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'] index: 5 section: short: The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. index: 6 slicing: rules: open discriminator: - {path: code, type: pattern} min: null slices: motherPrenatal: match: code: coding: - {code: 57073-9, system: 'http://loinc.org'} schema: short: motherPrenatal Section on the Jurisdiction Fetal Death Report index: 7 elements: code: pattern: type: CodeableConcept value: coding: - {code: 57073-9, system: 'http://loinc.org'} index: 8 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: 9 entry: short: Entries that are contained in the motherPrenatal Section index: 10 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: 15 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: 16 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: 12 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: 11 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: 14 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: 17 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: 19 min: 0 max: 4 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: 13 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: 18 min: 0 max: 1 required: [focus, code] medicalHealthInformation: match: code: coding: - {code: 55752-0, system: 'http://loinc.org'} schema: short: medicalHealthInformation Section on the Jurisdiction Fetal Death Report index: 20 elements: code: pattern: type: CodeableConcept value: coding: - {code: 55752-0, system: 'http://loinc.org'} index: 21 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: 22 entry: short: Entries that are contained in the medicalHealthInformation Section index: 23 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-assisted-reproductive-technology', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-fertility-enhancing-drug-therapy-artificial-insem', 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-infertility-treatment'] type: Reference array: true index: 24 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: 25 min: 0 max: 1 fetalPresentation: match: {} schema: short: Fetal presentation at birth refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation'] type: Reference index: 26 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: 27 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-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'] type: Reference array: true index: 28 min: 0 required: [focus, code] fetus: match: code: coding: - {code: 76400-1, system: 'http://loinc.org'} schema: short: fetus Section on the Jurisdiction Fetal Death Report index: 29 elements: code: pattern: type: CodeableConcept value: coding: - {code: 76400-1, system: 'http://loinc.org'} index: 30 entry: short: Entries that are contained in the fetus Section index: 31 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: 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 index: 39 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: 33 min: 0 max: 1 otherCauseOfDeath: match: {} schema: short: Another significant cause or condition for the death of the fetus. refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-other-cause-or-condition'] type: Reference array: true index: 36 min: 0 causeOfFetalDeath: match: {} schema: short: Initiating cause or condition of fetal death refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-initiating-cause-or-condition'] type: Reference index: 35 min: 0 max: 1 estimatedTimeFetalDeath: match: {} schema: short: The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery. refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-death-time-point'] type: Reference index: 37 min: 0 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 index: 40 min: 0 max: 1 fetalRemainsDispositionMethod: match: {} schema: short: Method of decedent fetus disposition refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-remains-disposition-method'] type: Reference index: 34 min: 0 max: 1 deliveryWeight: match: {} schema: short: Delivery weight refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight'] type: Reference index: 32 min: 0 max: 1 autopsyPerformed: match: {} schema: short: An indication if an autopsy has been performed on the subject. refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-autopsy-performed-indicator'] type: Reference index: 38 min: 0 max: 1 numberFetalDeathsThisDelivery: match: {} schema: short: Number of fetal deaths this delivery refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-fetal-deaths-this-delivery'] type: Reference index: 41 min: 0 max: 1 required: [code] motherInformation: match: code: coding: - {code: 92014-0, system: 'http://loinc.org'} schema: short: motherInformation Section on the Jurisdiction Fetal Death Report index: 42 elements: code: pattern: type: CodeableConcept value: coding: - {code: 92014-0, system: 'http://loinc.org'} index: 43 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: 44 entry: short: Entries that are contained in the motherInformation Section index: 45 slicing: rules: open 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-education-level-vr'] type: Reference index: 46 min: 0 max: 1 mothersPresentJob: match: {} schema: short: Mother's Present Job refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job'] type: Reference index: 47 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: 48 min: 0 max: 1 required: [focus, code] fatherInformation: match: code: coding: - {code: 92013-2, system: 'http://loinc.org'} schema: short: Father Administrative Section on the Fetal Death Report index: 49 elements: code: short: Father's administrative information pattern: type: CodeableConcept value: coding: - {code: 92013-2, system: 'http://loinc.org'} index: 50 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: 51 entry: short: Entries that are contained in the fatherInformation Section index: 52 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: fathersPresentJob: match: {} schema: short: Father's Present Job refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job'] type: Reference index: 53 min: 0 max: 1 required: [focus, 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 Jurisdiction Fetal Death Report index: 54 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: 55 entry: short: Entries that are contained in the emergingIssues Section index: 56 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: 57 min: 0 max: 1 required: [code] package_version: 2.0.0 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: 2.0.0 required: [subject]