description: This Composition profile defines constraints to address the use case in which information for live birth information is recorded and communicated to the jurisdicational Vital Records Office.\n\nThis Composition profile defines constraints to address the use case in which information for live birth information is recorded and communicated to the jurisdicational Vital Records Office. For the most part, labor and delivery takes place at a healthcare provider site. When a baby is delivered at home, or on the way to the hospital, the mother and baby are typically taken to the hospital for evaluation and possible treatment. Personal and pregnancy information is collected from the mother or an informant, while information regarding labor and delivery and the condition of the newborn is collected from the responsible party at the healthcare facility. The information from these two sources may be communicated to the jurisdiction vital records office at the same time (using this profile) or separately (using the [Composition-provider-mothers-live-birth-report](StructureDefinition-Composition-provider-mothers-live-birth-report.html) and [Composition-provider-facility-live-birth-report](StructureDefinition-Composition-provider-facility-live-birth-report.html)).\n\nThe data requirements for provider supplied live birth information are based on the Edit Specifications for the 2003 Revision of the U.S. Standard Certificate of Birth, the 2016 US Standard Facility Worksheet for the Live Birth Certificate, the 2016 US Standard Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births, and the 2016 US Standard Mothers Worksheet for Child's Birth Certificate. The jurisdiction may have additional data requirements and edit specifications that will be addressed at the jurisdictional level. 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: null slices: sliceBirthCertificateId: match: {url: null} schema: {type: Extension, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-id', index: 1} max: 1 sliceBirthCertificateFileNumber: match: {url: null} schema: {type: Extension, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-file-number', index: 2} max: 1 type: short: U.S. standard certificate of live birth - 2003 revision pattern: type: CodeableConcept value: coding: - {code: 68998-4, system: 'http://loinc.org'} index: 3 subject: type: Reference refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child'] index: 4 encounter: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth'] index: 5 section: index: 6 slicing: rules: open discriminator: - {path: code, type: value} min: null slices: motherPrenatal: match: code: coding: - {code: 57073-9, system: 'http://loinc.org'} schema: short: Mother (prenatal) section on the Live Birth Certificate mustSupport: true index: 7 elements: code: short: Prenatal records 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'] index: 9 entry: short: Entries that are contained in the Mother Prenatal section index: 10 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: 17 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: 22 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: 14 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: 12 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: 11 max: 1 numberPrenatalCareVisits: match: {} schema: short: Number of prenatal care visits refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-prenatal-visits'] type: Reference mustSupport: true index: 13 max: 1 numberOtherOutcomes: match: {} schema: short: Number of other pregnancy outcomes refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-other-pregnancy-outcomes'] type: Reference mustSupport: true index: 18 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: 16 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: 23 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 mustSupport: true index: 19 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: 25 max: 4 mothersWeightAtDelivery: match: {} schema: short: Mother's weight at delivery refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-delivery-weight'] type: Reference mustSupport: true index: 21 max: 1 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: 15 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: 24 max: 1 principalSourceOfPayment: match: {} schema: short: Principal source of payment for this delivery refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-for-delivery'] type: Reference mustSupport: true index: 20 max: 1 medicalHealthInformation: match: code: coding: - {code: 55752-0, system: 'http://loinc.org'} schema: short: Medical and Health Informatino section on the Live Birth Certificate mustSupport: true index: 26 elements: code: short: Clinical information 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'] index: 28 entry: short: Entries that are contained in the medical and health information section index: 29 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: null slices: 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: 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: 36 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: 37 max: 1 characteristicsLaborDelivery: match: {} schema: type: Reference short: Characteristics fo labor and delivery mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-characteristic-of-labor-and-delivery'] index: 34 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: 38 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: 30 fetalPresentation: match: {} schema: short: Fetal presentation at birth refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-presentation'] type: Reference mustSupport: true index: 35 max: 1 infectionsDuringPregnancy: match: {} schema: type: Reference short: Infections present and/or treated during this pregnancy mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy'] index: 32 obstetricProcedures: match: {} schema: type: Reference short: Obstetric procedures mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric'] index: 33 newbornInformation: match: code: coding: - {code: 57075-4, system: 'http://loinc.org'} schema: short: Newborn section on the Live Birth Certificate mustSupport: true index: 39 elements: code: short: Newborn delivery information pattern: type: CodeableConcept value: coding: - {code: 57075-4, system: 'http://loinc.org'} index: 40 entry: short: Entries that are contained in the newborn section index: 41 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: null slices: birthWeight: match: {} schema: short: Birthweight refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-birth-weight'] type: Reference mustSupport: true index: 42 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: 43 max: 1 APGARScore: match: {} schema: short: APGAR Score refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-apgar-score'] type: Reference mustSupport: true array: true max: 2 index: 44 max: 2 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 abnormalConditionsNewborn: match: {} schema: type: Reference short: Abnormal conditions of the newborn mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-abnormal-condition-of-newborn'] index: 46 congenitalAnomaliesNewborn: match: {} schema: type: Reference short: Congenital anomolies of the newborn mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn'] index: 47 infantLiving: match: {} schema: short: Is infant living at time of report? refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-infant-living'] type: Reference mustSupport: true index: 48 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 mustSupport: true index: 49 max: 1 motherInformation: match: code: coding: - {code: 92014-0, system: 'http://loinc.org'} schema: mustSupport: true index: 50 elements: code: short: Mother's administrative information pattern: type: CodeableConcept value: coding: - {code: 92014-0, system: 'http://loinc.org'} index: 51 focus: type: Reference refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother'] index: 52 entry: index: 53 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: education: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level'] index: 54 fatherInformation: match: code: coding: - {code: 92013-2, system: 'http://loinc.org'} schema: mustSupport: true index: 55 elements: code: short: Father's administrative information pattern: type: CodeableConcept value: coding: - {code: 92013-2, system: 'http://loinc.org'} index: 56 focus: type: Reference refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural'] index: 57 entry: index: 58 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: education: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level'] index: 59 max: 1 package_version: 0.1.0 extensions: sliceBirthCertificateId: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-id', max: 1, type: Extension, index: 1} sliceBirthCertificateFileNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-file-number', max: 1, type: Extension, index: 2} 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: 0.1.0 required: [subject]