description: This Composition profile defines constraints to address the use case in which information for live birth information is recorded and communicated to the jurisdictional Vital Records Office. package_name: hl7.fhir.us.bfdr derivation: constraint name: CompositionProviderLiveBirthReport type: Composition elements: extension: mustSupport: true index: 0 slicing: rules: open discriminator: - {path: url, type: value} min: 1 slices: liveBirthCertificateNumber: match: {url: null} schema: {type: Extension, short: Birth Number, mustSupport: true, 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., mustSupport: true, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number', index: 2} max: 1 dateFiledByRegistrar: match: {url: null} schema: {type: Extension, short: Date filed by registrar, mustSupport: true, 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.', mustSupport: true, index: 4} type: short: U.S. standard certificate of live birth - 2003 revision mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 68998-4, system: 'http://loinc.org'} index: 5 subject: type: Reference short: The subject of the composition is the newborn baby mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child'] index: 6 encounter: type: Reference short: The Encounter for the Composition is the newborn's birth encounter. mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth'] 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 Live Birth Certificate. 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 Live Birth Certificate 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: 20 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: 25 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: 17 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 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: 16 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: 21 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: 19 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: 26 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: 22 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: 28 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: 24 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: 18 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: 27 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: 23 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 Live Birth Certificate mustSupport: true index: 29 elements: code: short: Clinical information mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 55752-0, system: 'http://loinc.org'} index: 30 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: 31 entry: short: Entries that are contained in the medical and health information section mustSupport: true index: 32 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: 33 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: 34 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: 35 obstetricProcedures: match: {} schema: short: Obstetric procedures refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric'] type: Reference mustSupport: true _required: true index: 36 min: 1 max: 1 characteristicsLaborDelivery: match: {} schema: type: Reference short: Characteristics of labor and delivery mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-characteristic-of-labor-and-delivery'] index: 37 fetalPresentation: match: {} schema: short: Fetal presentation at birth refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation'] type: Reference mustSupport: true index: 38 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: 39 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: 40 required: [entry, focus, code] newbornInformation: match: code: coding: - {code: 57075-4, system: 'http://loinc.org'} schema: short: Newborn section on the Live Birth Certificate mustSupport: true index: 41 elements: code: short: Newborn delivery information mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 57075-4, system: 'http://loinc.org'} index: 42 entry: short: Entries that are contained in the newborn section mustSupport: true index: 43 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: 1 slices: 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: 51 max: 1 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: 50 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: 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: 52 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: 45 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: 47 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: 49 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/vr-common-library/StructureDefinition/Observation-apgar-score'] type: Reference mustSupport: true array: true max: 2 index: 46 max: 2 birthWeight: match: {} schema: short: Birthweight refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-birth-weight'] type: Reference mustSupport: true index: 44 max: 1 required: [entry, code] motherInformation: match: code: coding: - {code: 92014-0, system: 'http://loinc.org'} schema: mustSupport: true index: 53 elements: code: short: Mother's administrative information mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 92014-0, system: 'http://loinc.org'} index: 54 focus: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother'] index: 55 entry: mustSupport: true array: true min: 1 index: 56 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: 1 slices: marriedDuringPregnancy: match: {} schema: short: Mother married during pregnancy refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy'] type: Reference mustSupport: true index: 57 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 mustSupport: true index: 58 max: 1 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: 59 max: 1 required: [entry, focus, code] fatherInformation: match: code: coding: - {code: 92013-2, system: 'http://loinc.org'} schema: short: Father section on the Live Birth Certificate mustSupport: true index: 60 elements: code: short: Father's administrative information mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 92013-2, system: 'http://loinc.org'} index: 61 focus: type: Reference short: The focus of this section is the father mustSupport: true refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural'] index: 62 entry: short: Entries that are contained in the fatherInformation section mustSupport: true index: 63 slicing: rules: open ordered: false discriminator: - {path: $this.resolve(), type: profile} min: 1 slices: paternityAcknowledgementSigned: match: {} schema: short: Paternity acknowledgement signed by father refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed'] type: Reference mustSupport: true index: 64 max: 1 fathersEducation: match: {} schema: short: Father's education refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level'] type: Reference mustSupport: true index: 65 max: 1 required: [entry, 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 - Patient's Worksheet for Fetal Death Report index: 66 elements: code: short: Questionnaire response Document pattern: type: CodeableConcept value: coding: - {code: 74465-6, system: 'http://loinc.org'} index: 67 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: 68 required: [entry, code] package_version: 1.0.0 extensions: liveBirthCertificateNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number', min: 1, max: 1, type: Extension, short: Birth Number, mustSupport: true, index: 1} liveBirthLocalFileNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number', max: 1, type: Extension, short: Local File No., mustSupport: true, 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, mustSupport: true, index: 3} 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: 1.0.0 required: [extension, section, subject]