description: This Composition profile contains information of a live birth and the issuance of a Birth Certificate to be recorded and communicated to the national statistics agency. package_name: hl7.fhir.us.bfdr derivation: constraint name: CompositionJurisdictionLiveBirthReport type: Composition elements: extension: array: true min: 2 index: 0 slicing: rules: open discriminator: - {path: url, type: value} min: 2 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: 1 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: Jurisdiction live birth report Document pattern: type: CodeableConcept value: coding: - {code: 92011-6, 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 jurisdictional Vital Records Office. refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'] 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: null slices: motherPrenatal: match: code: coding: - {code: 57073-9, system: 'http://loinc.org'} schema: short: motherPrenatal Section on the Jurisdiction 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 Jurisdiction 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 Jurisdiction 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 Jurisdiction 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 Jurisdiction 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] 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 Live Birth Report index: 71 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: 72 entry: short: Entries that are contained in the emergingIssues Section index: 73 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: 74 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: 1, 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-jurisdiction-live-birth-report base: http://hl7.org/fhir/StructureDefinition/Composition version: 2.0.0-ballot required: [subject]