description: This Composition profile contains information of a live birth and the issuance of a Birth Certificate to be recorded and communicated to NCHS. The data requirements for jurisdictional reporting of live births are based on the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth. package_name: hl7.fhir.us.bfdr derivation: constraint name: CompositionJurisdictionLiveBirthReport type: Composition elements: extension: index: 0 slicing: rules: open discriminator: - {path: url, type: value} min: null slices: sliceBirthCertificateId: match: {url: null} schema: {type: Extension, short: Birth certificate id, 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 dateFiledByRegistrar: match: {url: null} schema: {type: Extension, url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar', index: 3} min: 1 max: 1 type: short: Jurisdiction live birth report Document pattern: type: CodeableConcept value: coding: - {code: 92011-6, system: 'http://loinc.org'} index: 4 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'] index: 5 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: 6 section: short: The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. index: 7 slicing: rules: open discriminator: - {path: code, type: pattern} 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: 8 elements: code: short: Prenatal records pattern: type: CodeableConcept value: coding: - {code: 57073-9, system: 'http://loinc.org'} index: 9 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: 10 entry: short: Entries that are contained in the Mother Prenatal section index: 11 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: 18 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: 23 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: 15 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: 13 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: 12 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: 14 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: 19 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: 17 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: 24 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: 20 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: 26 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: 22 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: 16 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: 25 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: 21 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: 27 elements: code: short: Clinical information pattern: type: CodeableConcept value: coding: - {code: 55752-0, system: 'http://loinc.org'} index: 28 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: 29 entry: short: Entries that are contained in the medical and health information section index: 30 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: 32 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: 37 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: 38 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: 35 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: 39 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: 31 fetalPresentation: match: {} schema: short: Fetal presentation at birth refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-presentation'] type: Reference mustSupport: true index: 36 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: 33 obstetricProcedures: match: {} schema: type: Reference short: Obstetric procedures mustSupport: true refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric'] index: 34 newborn: match: code: coding: - {code: 57075-4, system: 'http://loinc.org'} schema: short: Newborn section on the Live Birth Certificate mustSupport: true index: 40 elements: code: short: Newborn delivery information pattern: type: CodeableConcept value: coding: - {code: 57075-4, system: 'http://loinc.org'} index: 41 entry: short: Entries that are contained in the newborn section index: 42 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: 43 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: 44 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: 45 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: 46 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: 47 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: 48 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: 49 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: 50 max: 1 motherInformation: match: code: coding: - {code: 92014-0, system: 'http://loinc.org'} schema: short: Mother administrative section on the Live Birth Certificate mustSupport: true index: 51 elements: code: short: Mother's administrative information pattern: type: CodeableConcept value: coding: - {code: 92014-0, system: 'http://loinc.org'} index: 52 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: 53 entry: short: Entries that are contained in the motherInformation section index: 54 slicing: rules: open ordered: false 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 mustSupport: true index: 55 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: 56 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: 57 max: 1 fatherInformation: match: code: coding: - {code: 92013-2, system: 'http://loinc.org'} schema: short: Father section on the Live Birth Certificate mustSupport: true index: 58 elements: code: short: Father's administrative information pattern: type: CodeableConcept value: coding: - {code: 92013-2, system: 'http://loinc.org'} index: 59 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'] index: 60 entry: short: Entries that are contained in the fatherInformation section index: 61 slicing: rules: open ordered: false 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 mustSupport: true index: 62 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: 63 max: 1 EditFlags: match: code: coding: - {code: 92012-4, system: 'http://loinc.org'} schema: short: Edit Flags Section _required: true index: 64 elements: code: short: Edit flags section pattern: type: CodeableConcept value: coding: - {code: 92012-4, system: 'http://loinc.org'} index: 65 entry: index: 66 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: editFlagPlurality: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-plurality'] _required: true index: 78 min: 1 max: 1 editFlagFathersEducation: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-fathers-education'] _required: true index: 70 min: 1 max: 1 editFlagMothersDateOfBirth: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-date-of-birth'] _required: true index: 71 min: 1 max: 1 editFlagMothersHeight: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-height'] _required: true index: 74 min: 1 max: 1 editFlagEstimateOfGestation: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-estimate-of-gestation'] _required: true index: 68 min: 1 max: 1 editFlagMothersDeliveryWeight: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-delivery-weight'] _required: true index: 72 min: 1 max: 1 editFlagNumberPreviousCesareans: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-number-previous-cesareans'] _required: true index: 77 min: 1 max: 1 editFlagBirthweight: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-birthweight'] _required: true index: 67 min: 1 max: 1 editFlagMothersEducation: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-education'] _required: true index: 73 min: 1 max: 1 editFlagNumberPrenatalCareVisits: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-number-prenatal-care-visits'] _required: true index: 76 min: 1 max: 1 editFlagMothersPrepregnancyWeight: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-mothers-prepregnancy-weight'] _required: true index: 75 min: 1 max: 1 editFlagFathersDateOfBirth: match: {} schema: type: Reference refers: ['http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-edit-flag-fathers-date-of-birth'] _required: true index: 69 min: 1 max: 1 required: [code] package_version: 0.1.0 extensions: sliceBirthCertificateId: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-id', max: 1, type: Extension, short: Birth certificate id, index: 1} sliceBirthCertificateFileNumber: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-file-number', max: 1, type: Extension, index: 2} dateFiledByRegistrar: {url: 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar', min: 1, max: 1, type: Extension, 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: 0.1.0 required: [subject]