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: mustSupport: true index: 0 slicing: rules: open discriminator: - {path: url, type: value} min: 1 slices: fetalDeathReportNumber: match: {url: null} schema: {type: Extension, short: State File Number, mustSupport: true, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number', index: 1} min: 1 max: 1 fetalDeathLocalFileNumber: match: {url: null} schema: {type: Extension, short: Local File No., mustSupport: true, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number', index: 2} max: 1 dateReceivedByRegistrar: match: {url: null} schema: {type: Extension, mustSupport: true, 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.', mustSupport: true, index: 4} type: short: U.S. standard report of fetal death - 2003 revision mustSupport: true 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 mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-decedent-fetus'] index: 6 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: 7 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. mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vital-records'] index: 8 section: short: The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. mustSupport: true index: 9 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 Fetal Death Report mustSupport: true index: 10 elements: code: short: Prenatal records mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 57073-9, system: 'http://loinc.org'} index: 11 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'] index: 12 entry: short: Entries that are contained in the Mother Prenatal section mustSupport: true index: 13 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: 19 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: 20 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: 16 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: 15 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: 14 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: 18 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: 21 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: 23 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: 17 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: 22 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 Fetal Death Report mustSupport: true index: 24 elements: code: short: Clinical information mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 55752-0, system: 'http://loinc.org'} index: 25 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'] index: 26 entry: short: Entries that are contained in the medical and health information section mustSupport: true index: 27 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/Observation-pregnancy-risk-factor'] index: 28 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: 29 max: 1 fetalPresentation: match: {} schema: short: Fetal presentation at birth refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation'] type: Reference mustSupport: true index: 30 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: 31 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: 32 required: [entry, focus, code] fetus: match: code: coding: - {code: 76400-1, system: 'http://loinc.org'} schema: short: fetus section on the Fetal Death Report mustSupport: true index: 33 elements: code: short: Fetal delivery information Document [US Standard Report of Fetal Death] mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 76400-1, system: 'http://loinc.org'} index: 34 entry: short: Entries that are contained in the fetus section mustSupport: true index: 35 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: 1 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 mustSupport: true index: 42 max: 1 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'] index: 45 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: 37 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: 44 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: 39 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: 38 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-estimated-fetal-death-time-point'] type: Reference mustSupport: true _required: true index: 40 min: 1 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: 43 max: 1 deliveryWeight: match: {} schema: short: Delivery weight refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-birth-weight'] type: Reference mustSupport: true index: 36 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'] type: Reference mustSupport: true index: 41 max: 1 numberFetalDeathsThisDelivery: match: {} schema: type: Reference short: Number of fetal deaths this delivery mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-fetal-deaths-this-delivery'] index: 46 max: 1 required: [entry, code] motherInformation: match: code: coding: - {code: 92014-0, system: 'http://loinc.org'} schema: short: Mother administrative section on the Fetal Death Report mustSupport: true index: 47 elements: code: short: Mother's administrative information mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 92014-0, system: 'http://loinc.org'} index: 48 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'] index: 49 entry: short: Entries that are contained in the motherInformation section mustSupport: true index: 50 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: 1 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: 51 max: 1 required: [entry, focus, code] mothersQuestionnaireResponse: 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: 52 elements: code: short: Questionnaire response Document pattern: type: CodeableConcept value: coding: - {code: 74465-6, system: 'http://loinc.org'} index: 53 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: 54 required: [entry, code] package_version: 1.0.0 extensions: fetalDeathReportNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number', min: 1, max: 1, type: Extension, short: State File Number, mustSupport: true, index: 1} fetalDeathLocalFileNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number', max: 1, type: Extension, short: Local File No., mustSupport: true, index: 2} dateReceivedByRegistrar: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar', min: 1, max: 1, type: Extension, mustSupport: true, 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: 1.0.0 required: [extension, section, subject]