description: This Composition profile contains constraints to address the use case describing the need for fetal death information to be recorded and communicated to the jurisdictional Vital Records Office. package_name: hl7.fhir.us.bfdr derivation: constraint name: CompositionProviderFetalDeathReport type: Composition elements: extension: index: 0 slicing: rules: open discriminator: - {path: url, type: value} min: 1 slices: fetalDeathReportNumber: match: {url: null} schema: {type: Extension, short: State File Number, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number', index: 1} min: 0 max: 1 fetalDeathLocalFileNumber: match: {url: null} schema: {type: Extension, short: Local File No., url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number', index: 2} min: 0 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 status: {short: 'In the case of a fetal death sent in error, a status of ''entered-in-error'' must be set.', index: 4} type: short: U.S. standard report of fetal death - 2003 revision pattern: type: CodeableConcept value: coding: - {code: 69045-3, system: 'http://loinc.org'} index: 5 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: 6 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: 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 Fetal Death Report. 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 Fetal Death 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: 21 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: 22 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: 18 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 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: 20 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: 23 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: 25 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: 19 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: 24 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 Fetal Death Report index: 26 elements: code: pattern: type: CodeableConcept value: coding: - {code: 55752-0, system: 'http://loinc.org'} index: 27 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: 28 entry: short: Entries that are contained in the medicalHealthInformation Section index: 29 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: 30 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: 31 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: 32 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: 33 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: 34 min: 0 required: [focus, code] fetus: match: code: coding: - {code: 76400-1, system: 'http://loinc.org'} schema: short: fetus Section on the Provider Fetal Death Report index: 35 elements: code: 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 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: 45 min: 0 max: 1 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: 47 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: 39 min: 0 max: 1 methodOfDisposition: match: {} schema: short: Method of decedent fetus disposition refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-method-of-disposition'] type: Reference index: 40 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: 42 min: 0 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 index: 41 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: 43 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: 46 min: 0 max: 1 deliveryWeight: match: {} schema: short: Delivery weight refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight'] type: Reference index: 38 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/vr-common-library/StructureDefinition/Observation-autopsy-performed-indicator-vr'] type: Reference index: 44 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: 48 min: 0 max: 1 required: [code] motherInformation: match: code: coding: - {code: 92014-0, system: 'http://loinc.org'} schema: short: motherInformation Section on the Provider Fetal Death Report index: 49 elements: code: pattern: type: CodeableConcept value: coding: - {code: 92014-0, system: 'http://loinc.org'} index: 50 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: 51 entry: short: Entries that are contained in the motherInformation Section index: 52 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: 53 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: 54 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: 55 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: 56 elements: code: short: Father's administrative information pattern: type: CodeableConcept value: coding: - {code: 92013-2, system: 'http://loinc.org'} index: 57 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: 58 entry: short: Entries that are contained in the fatherInformation Section index: 59 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: 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: 60 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 - Mother's Worksheet for Child's Birth Certificate index: 61 elements: code: short: Questionnaire response Document pattern: type: CodeableConcept value: coding: - {code: 74465-6, system: 'http://loinc.org'} index: 62 entry: type: Reference short: QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report refers: ['http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse'] index: 63 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 Fetal Death Report index: 64 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: 65 entry: short: Entries that are contained in the emergingIssues Section index: 66 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: 67 min: 0 max: 1 required: [code] package_version: 2.0.0-ballot extensions: fetalDeathReportNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number', min: 0, max: 1, type: Extension, short: State File Number, index: 1} fetalDeathLocalFileNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number', min: 0, max: 1, type: Extension, short: Local File No., 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-provider-fetal-death-report base: http://hl7.org/fhir/StructureDefinition/Composition version: 2.0.0-ballot required: [extension, section, subject]