Difference between revisions of "Birth and Fetal Death Reporting Enhanced Profile"

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The Birth and Fetal Death Reporting Extended (BFDR-E) content profile supports pre-population of data from electronic health record systems to electronic vital records systems for birth, fetal death and death reporting to meet Federal, state and local reporting requirements.
 
The Birth and Fetal Death Reporting Extended (BFDR-E) content profile supports pre-population of data from electronic health record systems to electronic vital records systems for birth, fetal death and death reporting to meet Federal, state and local reporting requirements.
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'''[https://ihe.webex.com/ihe/lsr.php?RCID=a8385437eab541ad6ba5fe5304d5069a Birth and Fetal Death Reporting Enhanced Profile and Vital Records Death Reporting Recording]'''
  
 
__TOC__
 
__TOC__
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The IHE Birth and Fetal Death Reporting Extended (BFDR-E) profile defines the mechanism to capture the information required for reporting to vital records. The BFDR-E profile provides the mapping and data capture rules to collect information from the IHE PCC Labor and Delivery Summary using the forms data capture. However, once this information is captured, there is no standard content document or transactional message specified by the BFDR profile to communicate this information to a Vital Records system. This results in limitations in deployment approaches. The recipient of the data must process the custom form data. The Vital Records systems may benefit from the HL7 V2.5.1 Birth and Fetal Death Reporting transaction specification and the HL7 CDA Birth and Fetal Death Reporting document specification to standardize the data they receive.   
 
The IHE Birth and Fetal Death Reporting Extended (BFDR-E) profile defines the mechanism to capture the information required for reporting to vital records. The BFDR-E profile provides the mapping and data capture rules to collect information from the IHE PCC Labor and Delivery Summary using the forms data capture. However, once this information is captured, there is no standard content document or transactional message specified by the BFDR profile to communicate this information to a Vital Records system. This results in limitations in deployment approaches. The recipient of the data must process the custom form data. The Vital Records systems may benefit from the HL7 V2.5.1 Birth and Fetal Death Reporting transaction specification and the HL7 CDA Birth and Fetal Death Reporting document specification to standardize the data they receive.   
 
  
 
==Benefits==
 
==Benefits==
''<If the profile can improve Cost, Safety, Quality or Efficiency then list the specific examples of that benefit (e.g. error reduction, increased throughput) and how they come about (e.g. SWF reduces patient errors due to mistyped demographics at the modality by transfering demographics electronically from the Order Filler).  Consider using a bullet list for readability.  Such benefits help users and vendors make the business case for the profile.  If the profile does not improve any aspect of Cost, Safety, Quality or Efficiency feel free to talk about something else here.>''
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''
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:* Establishes interoperable electronic exchange of VR data between EHR and VR Systems
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:* More timely data release
 +
:* Higher quality data for demographic and epidemiologic surveillance and research
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:* Less costly electronic vital registration systems
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:* Greater integration with other stakeholder electronic systems
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:* Greater standardization of electronic Vital Records data collection and exchange''
  
 
==Details==
 
==Details==
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The Birth and Fetal Death Reporting-Enhanced (BFDR-E) Profile provides a means to capture and communicate information needed to report births and fetal deaths for vital registration purposes. BFDR-E builds upon the earlier Birth and Fetal Death Reporting (BFDR) Profile that utilized actors and transactions defined in the ITI Retrieve Form for Data Capture (RFD) Profile to capture structured data using digital forms. BFDR-E further defines a mechanism to transform form submission data and record it in a CDA document designed to exchange the information in a standard format. BFDR-E also defines a mechanism to transform form submission data and transmit it as a standard HL7 v2 message.
 
The Birth and Fetal Death Reporting-Enhanced (BFDR-E) Profile provides a means to capture and communicate information needed to report births and fetal deaths for vital registration purposes. BFDR-E builds upon the earlier Birth and Fetal Death Reporting (BFDR) Profile that utilized actors and transactions defined in the ITI Retrieve Form for Data Capture (RFD) Profile to capture structured data using digital forms. BFDR-E further defines a mechanism to transform form submission data and record it in a CDA document designed to exchange the information in a standard format. BFDR-E also defines a mechanism to transform form submission data and transmit it as a standard HL7 v2 message.
  
==Systems Affected==
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[[File:BFDR and VRDR Graphic.png |500x400px]]
''<List (in user terms) the types of systems they might expect to have implemented actors from this profile, e.g. RIS, PACS, HIS, CAD Workstation, etc. and for each, how it would participate.>''
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* ''PACS systems may store, manage, and/or display Evidence Documents.''
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''
* ''Display systems may query, retrieve and display Evidence Documents.''
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* ''Reporting workstations may retrieve, process and include details from Evidence Documents in reports
+
  
'''Actors & Transactions:'''
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==Systems Affected==
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:* EHR Systems
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:* Electronic Birth Registration Systems (EBRD)
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:* Electronic Fetal Death Registration Systems (EFDRS)
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:* Infrastructure (Forms Manager)
  
''<Insert an actor-transaction diagram, and or list of Content Definitions>''
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[[Image:BFDR_E Actor Diagram 2014Dec.png|600x500px]]
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[[Image:BFDR_E Actors and Transactions Diagram 2014Dec.png|700x600px]]
  
 
==Specification==
 
==Specification==
  
'''Profile Status:''' [[Comments| Final Text]] 
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Trial Implementation (a new PC revision published July 23, 2021)
''<Replace "Final Text" with "Trial Implementation" or "Public Comment" as appropriate.>''
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'''Documents:'''  
 
'''Documents:'''  
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https://www.ihe.net/uploadedFiles/Documents/QRPH/IHE_QRPH_Suppl_BFDR-E.pdf
  
''<Provide direct links to the specific volumes or supplements, and list the volume sections relevant to this profile.  This is a simple inventory of official normative and informative text.  If you would like to provide a reading guide or walkthrough of what is in each of the different sections for implementers or users, do that in the Profile FAQ or the Profile Implementation Page linked below.  If the profile uses transactions from multiple Tech. Frameworks, repeat the structure below.>''
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'''Underlying Standards:'''
  
[http://www.ihe.net/Technical_Framework/index.cfm#radiology IHE Radiology Technical Framework:]
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•HL7 Version 2.5.1 Implementation Guide: Reporting Birth & Fetal Death Information from the EHR to Vital Records, R1 US Realm (Draft Standard for Trial Use)
:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8.pdf Vol. 1] - Section 5 (SWF Profile)
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:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8-2.pdf Vol. 2] - Sections 4.8 to 4.10, 4.14 to 4.19, and 4.23
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:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8-3.pdf Vol. 3] - Appendix E
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'''Underlying Standards:'''
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•HL7 Version 3 CDA R2 Implementation Guide: Reporting Birth & Fetal Death Information from the EHR to Vital Records Release 1 US Realm - Draft Standard for Trial Use)
  
''<list all the standards on which the profile is based; if possible with links to sources>''
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==FHIR Implementation Guide==
:* [http://dicom.nema.org DICOM]
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Using Resources at FMM Level 2-5:
:* [http://www.hl7.org HL7]
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:* ...
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Composition (FMM 2)
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 +
MedicationAdministration (FMM 2)
 +
 
 +
Procedure (FMM 3)
 +
 
 +
Observation (FMM 5)
 +
 
 +
Condition (FMM 3)
 +
 
 +
Encounter (FMM 2)
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 +
Patient (FMM 5)
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 +
Coverage (FMM 2)
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 +
* The Structure Definitions defined by BFDRE are:
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.Composition
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http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherMedicationAdministration
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http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornMedicationAdministration
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http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherProcedure
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http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherProcedure
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http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservations which is a composite of:
 +
• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPLUR
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http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsLIVEB
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsFDTH
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http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsLLB
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsLMP
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsOPO
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsDOFP
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPLBD
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPLBL
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPPB
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsOWGEST
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsNPCES
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsNPREV
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPOPO
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPNC
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsHT
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsWT
 +
 
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservations which is a composite of:
 +
• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsAPGAR5
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsAPGAR10
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsBW
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsFW
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsBPLACE
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsKaryotype
 +
 
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusObservations which is a composite of:
 +
• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusObservationsFW
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• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusObservationsETIME
 +
• http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusObservationsHISTOP
 +
 
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherCondition
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornCondition
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusCondition
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherBirthEncounter
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornBirthEncounter
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusDeliveryEncounter
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherPatient
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornPatient
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusPatient
 +
http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.Coverage
 +
 
 +
Informatively this profile will also published on Simplifier. See https://simplifier.net/IHEBFDREimplementation
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These conformance resources will also be registered at https://registry.fhir.org
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 +
* [https://simplifier.net/IHEBFDREimplementation/IHEBFDR BFDRE] ImplementationGuide
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** canonical URI http://ihe.net/fhir/ImplementationGuide/IHE.BFDRE
 +
The conformance resources Will also available on the [[Implementation Material]] folder.
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 +
See https://drive.google.com/drive/folders/1aHW4ChzRzaYSoyewi9zGIRHwVphgXQst
  
 
==See Also==
 
==See Also==
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3. Natality 2003 Revision – File In-Processing Documentation (14 Dec 2010)
 
3. Natality 2003 Revision – File In-Processing Documentation (14 Dec 2010)
  
4. Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death Vital Records birth certificates and fetal death reports include important demographic, medical and key information about the antepartum period, the labor and delivery process and the newborn/fetal death . Much of the medical and health information collected for the birth certificate and fetal death report can be pre-populated with information already available in the Electronic Health Record (EHR). A responsible Health Care Provider (HCP) or designated representative must review and complete the information to ensure data quality for vital registration purposes. These data may then be used by public health agencies to track maternal and infant health to target interventions for at risk populations.
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4. Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death
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[[Category:Profiles]]
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[[Category:QRPH Profile]]
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[[Category:CDA]]
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[[Category:FHIR-Doc]]
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[[Category:HL7v2]]
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[[Category:FHIR]]
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[[Category:RFD]]

Latest revision as of 12:49, 25 July 2021

The Birth and Fetal Death Reporting Extended (BFDR-E) content profile supports pre-population of data from electronic health record systems to electronic vital records systems for birth, fetal death and death reporting to meet Federal, state and local reporting requirements.

Birth and Fetal Death Reporting Enhanced Profile and Vital Records Death Reporting Recording

Summary

The National Vital Statistics System has a long and enduring history that serves to provide essential data on births and deaths within the United States and is the oldest and most successful example of inter-governmental data sharing in Public Health. Currently, these data typically are gathered by hospital personnel from the hospital’s medical records using paper worksheets. The process of capturing Vital Records information manually is duplicative, labor-intensive, costly and can be error prone. As a result, the timeliness and quality of these data are adversely affected.

The IHE Birth and Fetal Death Reporting Extended (BFDR-E) profile defines the mechanism to capture the information required for reporting to vital records. The BFDR-E profile provides the mapping and data capture rules to collect information from the IHE PCC Labor and Delivery Summary using the forms data capture. However, once this information is captured, there is no standard content document or transactional message specified by the BFDR profile to communicate this information to a Vital Records system. This results in limitations in deployment approaches. The recipient of the data must process the custom form data. The Vital Records systems may benefit from the HL7 V2.5.1 Birth and Fetal Death Reporting transaction specification and the HL7 CDA Birth and Fetal Death Reporting document specification to standardize the data they receive.

Benefits

  • Establishes interoperable electronic exchange of VR data between EHR and VR Systems
  • More timely data release
  • Higher quality data for demographic and epidemiologic surveillance and research
  • Less costly electronic vital registration systems
  • Greater integration with other stakeholder electronic systems
  • Greater standardization of electronic Vital Records data collection and exchange

Details

The Birth and Fetal Death Reporting-Enhanced (BFDR-E) Profile provides a means to capture and communicate information needed to report births and fetal deaths for vital registration purposes. BFDR-E builds upon the earlier Birth and Fetal Death Reporting (BFDR) Profile that utilized actors and transactions defined in the ITI Retrieve Form for Data Capture (RFD) Profile to capture structured data using digital forms. BFDR-E further defines a mechanism to transform form submission data and record it in a CDA document designed to exchange the information in a standard format. BFDR-E also defines a mechanism to transform form submission data and transmit it as a standard HL7 v2 message.

BFDR and VRDR Graphic.png

Systems Affected

  • EHR Systems
  • Electronic Birth Registration Systems (EBRD)
  • Electronic Fetal Death Registration Systems (EFDRS)
  • Infrastructure (Forms Manager)

BFDR E Actor Diagram 2014Dec.png

BFDR E Actors and Transactions Diagram 2014Dec.png

Specification

Trial Implementation (a new PC revision published July 23, 2021)

Documents: https://www.ihe.net/uploadedFiles/Documents/QRPH/IHE_QRPH_Suppl_BFDR-E.pdf

Underlying Standards:

•HL7 Version 2.5.1 Implementation Guide: Reporting Birth & Fetal Death Information from the EHR to Vital Records, R1 US Realm (Draft Standard for Trial Use)

•HL7 Version 3 CDA R2 Implementation Guide: Reporting Birth & Fetal Death Information from the EHR to Vital Records Release 1 US Realm - Draft Standard for Trial Use)

FHIR Implementation Guide

Using Resources at FMM Level 2-5:

Composition (FMM 2)

MedicationAdministration (FMM 2)

Procedure (FMM 3)

Observation (FMM 5)

Condition (FMM 3)

Encounter (FMM 2)

Patient (FMM 5)

Coverage (FMM 2)

  • The Structure Definitions defined by BFDRE are:

http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.Composition http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherMedicationAdministration http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornMedicationAdministration http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherProcedure http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherProcedure http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservations which is a composite of: • http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPLURhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsLIVEBhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsFDTHhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsLLBhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsLMPhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsOPOhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsDOFPhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPLBDhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPLBLhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPPBhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsOWGESThttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsNPCEShttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsNPREVhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPOPOhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsPNChttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsHThttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MaternalObservationsWT

http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservations which is a composite of: • http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsAPGAR5http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsAPGAR10http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsBWhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsFWhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsBPLACEhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornObservationsKaryotype

http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusObservations which is a composite of: • http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusObservationsFWhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusObservationsETIMEhttp://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusObservationsHISTOP

http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherCondition http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornCondition http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusCondition http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherBirthEncounter http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornBirthEncounter http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusDeliveryEncounter http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.MotherPatient http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.NewbornPatient http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.FetusPatient http://ihe.net/fhir/StructureDefinition/IHE.BFDRE.Coverage

Informatively this profile will also published on Simplifier. See https://simplifier.net/IHEBFDREimplementation These conformance resources will also be registered at https://registry.fhir.org

The conformance resources Will also available on the Implementation Material folder.

See https://drive.google.com/drive/folders/1aHW4ChzRzaYSoyewi9zGIRHwVphgXQst

See Also

1. HL7 and other standards documents referenced in Volume 1 and Volume 2

2. Birth Edit Specifications for the 2003 Revision of the U.S. Standard Certificate of Live Birth (4/2004; 3/2005; Updated 7/2012)

3. Natality 2003 Revision – File In-Processing Documentation (14 Dec 2010)

4. Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death