"A birth certificate is a vital record that documents the birth of a child. Depending on the jurisdiction, a record of birth might or might not contain verification of the event by such as a midwife or doctor. In the U.S., the issuance of birth certificates is a function of the states. These forms are completed by the attendant at birth or a hospital administrator, which are then forwarded to a local or state registrar, who stores the record and issues certified copies upon request. The U.S. National Center for Health Statistics creates standard forms that are recommended for use by the individual states to document births. However, states are free to create their own forms. [adapted from wikipedia]. This class represents a Person's Birth Certificate, as defined by the U.S. Standard Certificate of Live Birth, Revision 11/2003.

Attributes
«CO» CodeWithValue	apgarScore10Minutes	[US Standard Certificate Of Birth Field 51]. Contains the Apgar score (which is a simple and repeatable method to quickly and summarily assess the health of newborn children immediately after birth) 10 minutes after the birth of the infant. This property is required if the 5 minute Apgar score is less than 6. "The test is generally done at one and five minutes after birth, and may be repeated later if the score is and remains low. Scores 3 and below are generally regarded as critically low, 4 to 6 fairly low, and 7 to 10 generally normal." - Wikipedia.
«CO» CodeWithValue	apgarScore5Minutes	[US Standard Certificate Of Birth Field 51]. Contains the Apgar score (which is a simple and repeatable method to quickly and summarily assess the health of newborn children immediately after birth) 5 minutes after the birth of the infant. "The test is generally done at one and five minutes after birth, and may be repeated later if the score is and remains low. Scores 3 and below are generally regarded as critically low, 4 to 6 fairly low, and 7 to 10 generally normal." - Wikipedia.
«II» Id	attendantId	[US Standard Certificate Of Birth Field 27]. Indicates the National Provider Identifier (NPI) of the attending clinician.
«PN» PersonName	attendantName	[US Standard Certificate Of Birth Field 27]. Indicates the name of the attending clinician.
«CS» Code	attendantTitleCategory	[US Standard Certificate Of Birth Field 27]. Indicates the title of the attending clinician. Choices include: MD, DO, CNM/CM, Other Midwife, or Other (if Other is chosen, attendantTitleOther is used to specify).
String	attendantTitleOther	[US Standard Certificate Of Birth Field 27]. Indicates the title of the attending clinician. If attendantTitleCategory is "Other", then this property is used to specify. Otherwise this property is not used.
«AD» Address	birthPlaceAddress	[US Standard Certificate Of Birth Fields 06 and 07]. The address of the location (i.e., institution, home, in the car on the way to the hospital) at which the infant was born.
«CS» Code	birthPlaceCategory	[US Standard Certificate Of Birth Field 26]. Categorizes the place at which the birth occurred . Possible values include: Hospital; Freestanding birthing center; Home birth*; Clinic/Doctor's office; or Other**. * = if Home birth is chosen, wasHomeDeliveryPlanned is used to indicate whether a home delivery was planned. ** = if other is chosen, birthPlaceOther provides a free text in which to describe the location.
String	birthPlaceFacility	[US Standard Certificate Of Birth Field 05]. The name of the facility at which the infant was born. If not a facility (e.g., at home), the street address goes in field 5 on the report, but would be retreived from the BirthPlaceAddress property; this property would be unused.
«II» Id	birthPlaceFacilityId	[US Standard Certificate Of Birth Field 17]. Identifies the faclity at which the child was born. Should be the National Provider Identifier for the facility.
String	birthPlaceOther	[US Standard Certificate Of Birth Field 26]. Provides further details in free text regarding the place at which the birth occurred . Used only when birthPlaceCategory is "Other".
«PQ» Quantity	birthWeight	[US Standard Certificate Of Birth Field 49]. The weight of the infant at birth. Can be expressed in either pounds/ounces or grams. The use of grams is preferred.
«PN» PersonName	certifierName	[US Standard Certificate Of Birth Field 11]. Indicates the name of the person who certified the birth of the infant.
«CS» Code	certifierTitleCategory	[US Standard Certificate Of Birth Field 11]. Indicates the title of the person who certified the birth of the infant. Choices include: MD, DO, Hospital Administrator, CNM/CM, Other Midwife, or Other (if Other is chosen, certifierTitleOther is used to specify.
String	certifierTitleOther	[US Standard Certificate Of Birth Field 11]. Indicates the title of the person who certified the birth of the infant. If certifierTitleCategory is "Other", then this property is used to specify. Otherwise this property is not used.
CigaretteSmoking	cigaretteSmoking	[US Standard Certificate Of Birth Field 37]. Describes whether and how much the infant's mother smoked before and/or during pregnancy. The US Standard Certificate Of Birth Field 37 lists four time periods: Three months before pregnancy; first three months of pregnancy; second three months of pregnancy; and third trimester of pregnancy. It then asks for the average number of cigarettes OR packs of cigarettes smoked per day for each of these time periods.
«TS» PointInTime	dateCertified	[US Standard Certificate Of Birth Field 12]. Indicates the date that the infant's birth was certified.
«TS» PointInTime	dateFiledByRegistrar	[US Standard Certificate Of Birth Field 13]. Indicates the date that the birth certificate was filed by the registrar.
«TS» PointInTime	dateLastNormalMensesBegan	[US Standard Certificate Of Birth Field 39]. Indicates the date on which the infant's mother last experienced the beginning of a normal menstrual cycle.
«TS» PointInTime	dateOfFirstPrenatalVisit	[US Standard Certificate Of Birth Field 29a]. Provides the date of the first pre-natal care visit for the pregnancy resulting in this birth. Note that Box 29a also has a "No Prenatal care" checkbox, which is not modeled; it is assumed that this box can be calculated based on whether or not numberOfPrenatalVisits = 0.
«TS» PointInTime	dateOfLastLiveBirth	[US Standard Certificate Of Birth Field 35c]. Indicates the date on which the last child was born alive (e.g., not stillborn) to this infant's mother before this infant was born (i.e., not including this child).
«TS» PointInTime	dateOfLastOtherPregnancyOutcome	[US Standard Certificate Of Birth Field 36b]. Indicates the date on which the last "other pregnancy outcome (spontaneous or induced losses or ectopic pregnancies)" occurred.
«TS» PointInTime	dateOfLastPrenatalVisit	[US Standard Certificate Of Birth Field 29b]. Provides the date of the last pre-natal care visit for the pregnancy resulting in this birth.
Boolean	didMotherReceiveWicFood	[US Standard Certificate Of Birth Field 34]. Indicates whether the mother received Women and Infant Children (WIC) food assistance for herself during this pregnancy.
Father	father	Contains demographic information about the newborn's father. Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes. This class would probably not be instantiated in actual implentations.
Boolean	hasPaternityAcknowledgementBeenSigned	[US Standard Certificate Of Birth Field 15]. If the isMotherMarried property is false, i.e., the infant's mother was not married at birth, conception, or any time in between, this property indicates whether the father has signed a paternity acknowlegement.
String	infantTransferredToFacility	[US Standard Certificate Of Birth Field 56]. If the infant was transferred to another facility within 24 hours of delivery (i.e., wasInfantTransferred = true), this property is used to identify the receiving facility. Not used when wasInfantTransferred = false.
Infection	infection	[US Standard Certificate Of Birth Field 42]. Contains a list of infections present and/or treated during this pregnancy. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Gonorrhea; Syphilis; Chlamydia; Hepatitis B; Hepatitis C; None of the above.
Boolean	isInfantBreastFed	[US Standard Certificate Of Birth Field 58]. Indicates whether the infant was being breastfed at the time of discharge.
«CS» Code	isInfantLiving	[US Standard Certificate Of Birth Field 57]. Indicates whether the infant is living at the time the report (i.e., the US Standard Certificate Of Birth) was completed.
LaborAndDeliveryCharacteristic	laborAndDeliveryCharacteristic	[US Standard Certificate Of Birth Field 45]. Contains a list of observations regarding the labor and delivery of the infant. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Induction of labor; Augmentation of labor; Non-vertex presentation; Steroids (glucocorticoids) for fetal long maturation received by the mother prior to delivery; Antibiotics received by the mother during labor; Clinical chorioamnionitis diagnosed during labor or maternal temperature >= 38C (100.4F); Moderate/heavy meconium staining of the amniotic fluid; Fetal intolerance of labor such that one or more of the following actions were taken: in-utero resuscitative measures, further fetal assessment, or operative delivery; Epidural or spinal anesthesia during labor; None of the above.
MaternalMorbidity	maternalMorbidity	[US Standard Certificate Of Birth Field 47]. Contains a list of complications associated with labor and delivery. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Maternal transfusion; Third or fourth degree perineal laceration; ruptured uterus; Unplanned hysterectomy; Admission to intensive care unit; Unplanned operating room procedure following delivery; None of the above.
MethodOfDelivery	methodOfDelivery	[US Standard Certificate Of Birth Field 46]. Contains a list of observations regarding the delivery of the infant. Possible values include: Was delivery with forceps attempted by unsuccessful? - Yes; Was delivery with forceps attempted by unsuccessful? - No; Was delivery with vacuum extraction attempted by unsuccessful? - Yes; Was delivery with vacuum extraction attempted by unsuccessful? - No; Fetal presentation at birth, Cephalic; Fetal presentation at birth, Breech; Fetal presentation at birth, Other; Final route and method of delivery, Vaginal/Spontaneous; Final route and method of delivery, Vaginal/Forceps; Final route and method of delivery, Vaginal/Vacuum; Final route and method of delivery, Cesarean, trial of labor attempted; Cesarean, trial of labor not attempted.
Mother	mother	Contains demographic information about the newborn's mother. Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes. This class would probably not be instantiated in actual implentations.
«PQ» Quantity	mothersHeight	[US Standard Certificate Of Birth Field 31]. Indicates the infant's mother height (displayed in feet/inches).
«PQ» Quantity	mothersPrePregnancyWeight	[US Standard Certificate Of Birth Field 32]. Indicates the weight, in pounds, that the infant's mother normally weighed before this pregnancy.
«PQ» Quantity	mothersWeightAtDelivery	[US Standard Certificate Of Birth Field 33]. Indicates the weight, in pounds, that the infant's mother weighed just before delivery.
String	motherTransferedFromFacility	[US Standard Certificate Of Birth Field 28]. If the mother was transferred from another facility for maternal medical or fetal indications for delivery (i.e., wasMotherTransferred = true), this property is used to identify the transferring facility. Not used when wasMotherTransferred = false.
Integer	multipleBirthOrder	[US Standard Certificate Of Birth Field 53]. Note that this property can probably be derived, as it is stored as part of the infant's Person record. "When a patient was part of a multiple birth, a value (number) indicating the patient's birth order is entered in this field." - HL7 Version 2.8, PID-25. If the biological entity was born along with other siblings, this property indicates the order the entity was born. For example, for a set of twins, this property indicates which twin was born first, and which was born second.
NewbornAbnormalCondition	newbornAbnormalCondition	[US Standard Certificate Of Birth Field 54]. Contains a list of abnormal conditions of the newborn. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Assisted ventilation required immediately following delivery; Assisted ventilation required for more than six hours; NICU admission; Newborn given surfactant replacement therapy; Antibiotics received by the newborn for suspected neonatal sepsis; Seizure or serious neurologic dysfunction; Significant birth injury (skeletal fractures(s), peripheral nerve injury, and/or soft tissue/solid organ hemorrhage which require intervention); None of the above.
NewbornCongenitalAnomaly	newbornCongenitalAnomaly	[US Standard Certificate Of Birth Field 55]. Contains a list of congenital anomalies of the newborn. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of anomalies listed above", so if that one is chosen, there should not be any others chosen. Possible values include: Anencephaly; Meningomyelocele/Spinal bifida; Cyanotic congenital heart disease; Congenital diaphramic hernia; Omphalocele; Gastroschisis; Limb reduction defect (excluding congenital amputation and dwarfing syndromes); Cleft lip with or without cleft palate; Cleft palate alone; Down Syndrome, Karyotype confirmed; Down Syndrome, Karyotype pending; Suspected chromosomal disorder, Karyotype confirmed; Suspected chromosomal disorder, Karyotype pending; Hypospadias; None of anomalies listed above.
String	newbornsMedicalRecordId	[US Standard Certificate Of Birth Field 48]. Uniquely identifies the newborn's medical record within the institution's set of records. Note that this is modeled as a string, as this is all that is called for by the form, but it might be more properly modeled as an Id.
Integer	numberOfChildrenNowDead	[US Standard Certificate Of Birth Field 35b]. Indicates the number, of the children born alive to this infant's mother before this infant was born, that have since died. Note that Box 35b has a checkbox titled "None", which is not modeled - it is assumed that this checkbox can be calculated based on whether or not numberOfPreviousLiveBirths = 0).
Integer	numberOfChildrenNowLiving	[US Standard Certificate Of Birth Field 35a]. Indicates the number, of the children born alive to this infant's mother before this infant was born, that are still alive. Note that Box 35a has a checkbox titled "None", which is not modeled - it is assumed that this checkbox can be calculated based on whether or not numberOfPreviousLiveBirths = 0).
Integer	numberOfOtherPregnancyOutcomes	[US Standard Certificate Of Birth Field 36a]. Indicates the number of "other pregnancy outcomes (spontaneous or induced losses or ectopic pregnancies)" Note that Box 36a has a checkbox titled "None", which is not modeled - it is assumed that this checkbox can be calculated based on whether or this property is equal to 0.
Integer	numberOfPrenatalVisits	[US Standard Certificate Of Birth Field 30]. Provides the number of pre-natal care visits for the pregnancy resulting in this birth. Note that Box 29a also has a "No Prenatal care" checkbox, which is not modeled; it is assumed that this box can be calculated based on whether or not numberOfPrenatalVisits = 0.
Integer	numberOfPreviousLiveBirths	[US Standard Certificate Of Birth Field 35]. Indicates the number of children born alive (e.g., not stillborn) to this infant's mother before this infant was born (i.e., not including this child).
«PQ» TimeQuantity	obstetricEstimateOfGestation	[US Standard Certificate Of Birth Field 50]. Contains an estimate of gestational age of the infant, in weeks.
ObstetricProcedure	obstetricProcedure	[US Standard Certificate Of Birth Field 43]. Contains a list of obstetric procedures performed during this pregnancy. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Cervical cerclage; Tocolysis; External cephalic version, Successful; External cephalic version, Failed; None of the above.
OnsetOfLabor	onsetOfLabor	[US Standard Certificate Of Birth Field 44]. Contains a list of adverse events associated with the onset of labor. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Premature rupture of the membranes (prolonged, > 12 hours); Precipitous labor; Prolonged labor; None of the above.
Integer	plurality	[US Standard Certificate Of Birth Field 53]. The number of fetuses delivered live or dead at any time in the pregnancy regardless of gestational age or if the fetuses were delivered at different dates in the pregnancy. ( Reabsorbed fetuses, those which are not delivered (expulsed or extracted from the mother) should not be counted.)
«CS» Code	principalPaymentSourceCategory	[US Standard Certificate Of Birth Field 38]. Identifies the principal source of payment for this delivery. Possible values include: Private Insurance; Medicaid; Self-pay; or Other. If Other is chosen, the principalPaymentSourceOther property provides a free text in which the payment source could be specified.
String	principalPaymentSourceOther	[US Standard Certificate Of Birth Field 38]. If the principalPaymentSourceCategory property contains "Other", this property provides a free text in which the payment source could be specified. Not used if the principalPaymentSourceCategory property is anything other than "Other".
RiskFactor	riskFactor	[US Standard Certificate Of Birth Field 41]. Contains a list of risk factors that were encountered during this pregnancy. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Diabetes, Pre-pregnancy (diagnosis prior to this pregnancy); Diabetes, Gestational (diagnosis in this pregnancy); Hypertension, Prepregnancy (chronic); Hypertension, Gestational (PIH, preclampsia); Hypertension, Eclampsia; Previous preterm birth; Other previous poor pregnancy outcome (includes perinatal death, small-for-gestational age / intrauterine growth restricted birth); Pregnancy resulted from infertility treatment, Fertility-enhancing drugs, Artificial insemination or intrauterine insemination; Pregnancy resulted from infertility treatment, Assisted reproductive technology (e.g., in vitro fertilization (IVF) gamete intrafallopian transfer (GIFT)); Mother had a previous cesarean delivery - if yes, how many**; None of the above. **=if "Mother had a previous cesarean delivery" is chosen, a subclass of RiskFactor is used to contain the number of previous cesarean deliveries.
Boolean	wasHomeDeliveryPlanned	[US Standard Certificate Of Birth Field 26]. If the birth took place at home (i.e., birthPlaceCategory="Home Birth"), this property indicates whether such a home delivery was planned.
Boolean	wasInfantTransferred	[US Standard Certificate Of Birth Field 56]. Indicates whether the infant was transferred to another facility within 24 hours of delivery. If the answer is yes, the infantTransferredToFacility property is used to identify the receiving facility.
Boolean	wasMotherTransferred	[US Standard Certificate Of Birth Field 28]. Indicates whether the mother was transferred from another facility for maternal medical or fetal indications for delivery. If the answer is yes, the motherTransferedFromFacility property is used to identify the transferring facility.
Boolean	wasMultipleBirth	[US Standard Certificate Of Birth Field 52]. Note that this property can probably be derived, as it is stored as part of the infant's Person record. "This field indicates whether the patient was part of a multiple birth." - HL7 Version 2.8, PID-24 If the biological entity was born along with other siblings, this property indicates the order the entity was born. For example, for a set of twins, this property indicates which twin was born first, and which was born second. An indication as to whether the person was born along with other siblings as part of a single pregnancy. This property is primarily used to distinguish records for newborn infants who have not yet have been given names. This property may also be used in research situations to distinguish individuals who were part of a multi-child pregnancy.
Boolean	wasSsnRequested	[US Standard Certificate Of Birth Field 16]. Indicates whether a Social Security Number has been requested for the child.

 apgarScore10Minutes

Public «CO» CodeWithValue apgarScore10Minutes

[US Standard Certificate Of Birth Field 51]. Contains the Apgar score (which is a simple and repeatable method to quickly and summarily assess the health of newborn children immediately after birth) 10 minutes after the birth of the infant. This property is required if the 5 minute Apgar score is less than 6. "The test is generally done at one and five minutes after birth, and may be repeated later if the score is and remains low. Scores 3 and below are generally regarded as critically low, 4 to 6 fairly low, and 7 to 10 generally normal." - Wikipedia.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	apgarScore10Minutes
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::apgarScore10Minutes
Stereotype
Template Parameter
Type	«CO» CodeWithValue
Upper	1
Upper Value	(1)
Visibility	Public

 apgarScore5Minutes

Public «CO» CodeWithValue apgarScore5Minutes

[US Standard Certificate Of Birth Field 51]. Contains the Apgar score (which is a simple and repeatable method to quickly and summarily assess the health of newborn children immediately after birth) 5 minutes after the birth of the infant. "The test is generally done at one and five minutes after birth, and may be repeated later if the score is and remains low. Scores 3 and below are generally regarded as critically low, 4 to 6 fairly low, and 7 to 10 generally normal." - Wikipedia.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	apgarScore5Minutes
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::apgarScore5Minutes
Stereotype
Template Parameter
Type	«CO» CodeWithValue
Upper	1
Upper Value	(1)
Visibility	Public

 attendantId

Public «II» Id attendantId

[US Standard Certificate Of Birth Field 27]. Indicates the National Provider Identifier (NPI) of the attending clinician.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	attendantId
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::attendantId
Stereotype
Template Parameter
Type	«II» Id
Upper	1
Upper Value	(1)
Visibility	Public

 attendantName

Public «PN» PersonName attendantName

[US Standard Certificate Of Birth Field 27]. Indicates the name of the attending clinician.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	attendantName
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::attendantName
Stereotype
Template Parameter
Type	«PN» PersonName
Upper	1
Upper Value	(1)
Visibility	Public

 attendantTitleCategory

Public «CS» Code attendantTitleCategory

[US Standard Certificate Of Birth Field 27]. Indicates the title of the attending clinician. Choices include: MD, DO, CNM/CM, Other Midwife, or Other (if Other is chosen, attendantTitleOther is used to specify).

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	attendantTitleCategory
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::attendantTitleCategory
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 attendantTitleOther

Public String attendantTitleOther

[US Standard Certificate Of Birth Field 27]. Indicates the title of the attending clinician. If attendantTitleCategory is "Other", then this property is used to specify. Otherwise this property is not used.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	attendantTitleOther
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::attendantTitleOther
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 birthPlaceAddress

Public «AD» Address birthPlaceAddress

[US Standard Certificate Of Birth Fields 06 and 07]. The address of the location (i.e., institution, home, in the car on the way to the hospital) at which the infant was born.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	birthPlaceAddress
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::birthPlaceAddress
Stereotype
Template Parameter
Type	«AD» Address
Upper	1
Upper Value	(1)
Visibility	Public

 birthPlaceCategory

Public «CS» Code birthPlaceCategory

[US Standard Certificate Of Birth Field 26]. Categorizes the place at which the birth occurred . Possible values include: Hospital; Freestanding birthing center; Home birth*; Clinic/Doctor's office; or Other**. * = if Home birth is chosen, wasHomeDeliveryPlanned is used to indicate whether a home delivery was planned. ** = if other is chosen, birthPlaceOther provides a free text in which to describe the location.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	birthPlaceCategory
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::birthPlaceCategory
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 birthPlaceFacility

Public String birthPlaceFacility

[US Standard Certificate Of Birth Field 05]. The name of the facility at which the infant was born. If not a facility (e.g., at home), the street address goes in field 5 on the report, but would be retreived from the BirthPlaceAddress property; this property would be unused.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	birthPlaceFacility
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::birthPlaceFacility
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 birthPlaceFacilityId

Public «II» Id birthPlaceFacilityId

[US Standard Certificate Of Birth Field 17]. Identifies the faclity at which the child was born. Should be the National Provider Identifier for the facility.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	birthPlaceFacilityId
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::birthPlaceFacilityId
Stereotype
Template Parameter
Type	«II» Id
Upper	1
Upper Value	(1)
Visibility	Public

 birthPlaceOther

Public String birthPlaceOther

[US Standard Certificate Of Birth Field 26]. Provides further details in free text regarding the place at which the birth occurred . Used only when birthPlaceCategory is "Other".

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	birthPlaceOther
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::birthPlaceOther
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 birthWeight

Public «PQ» Quantity birthWeight

[US Standard Certificate Of Birth Field 49]. The weight of the infant at birth. Can be expressed in either pounds/ounces or grams. The use of grams is preferred.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	birthWeight
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::birthWeight
Stereotype
Template Parameter
Type	«PQ» Quantity
Upper	1
Upper Value	(1)
Visibility	Public

 certifierName

Public «PN» PersonName certifierName

[US Standard Certificate Of Birth Field 11]. Indicates the name of the person who certified the birth of the infant.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	certifierName
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::certifierName
Stereotype
Template Parameter
Type	«PN» PersonName
Upper	1
Upper Value	(1)
Visibility	Public

 certifierTitleCategory

Public «CS» Code certifierTitleCategory

[US Standard Certificate Of Birth Field 11]. Indicates the title of the person who certified the birth of the infant. Choices include: MD, DO, Hospital Administrator, CNM/CM, Other Midwife, or Other (if Other is chosen, certifierTitleOther is used to specify.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	certifierTitleCategory
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::certifierTitleCategory
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 certifierTitleOther

Public String certifierTitleOther

[US Standard Certificate Of Birth Field 11]. Indicates the title of the person who certified the birth of the infant. If certifierTitleCategory is "Other", then this property is used to specify. Otherwise this property is not used.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	certifierTitleOther
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::certifierTitleOther
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 cigaretteSmoking

Public CigaretteSmoking cigaretteSmoking

[US Standard Certificate Of Birth Field 37]. Describes whether and how much the infant's mother smoked before and/or during pregnancy. The US Standard Certificate Of Birth Field 37 lists four time periods: Three months before pregnancy; first three months of pregnancy; second three months of pregnancy; and third trimester of pregnancy. It then asks for the average number of cigarettes OR packs of cigarettes smoked per day for each of these time periods.

Constraints:

Properties:

Aggregation	None
Alias
Association	birthCertificate_cigaretteSmoking
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..4
Name	cigaretteSmoking
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::cigaretteSmoking
Stereotype
Template Parameter
Type	CigaretteSmoking
Upper	4
Upper Value	(4)
Visibility	Public

 dateCertified

Public «TS» PointInTime dateCertified

[US Standard Certificate Of Birth Field 12]. Indicates the date that the infant's birth was certified.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	dateCertified
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::dateCertified
Stereotype
Template Parameter
Type	«TS» PointInTime
Upper	1
Upper Value	(1)
Visibility	Public

 dateFiledByRegistrar

Public «TS» PointInTime dateFiledByRegistrar

[US Standard Certificate Of Birth Field 13]. Indicates the date that the birth certificate was filed by the registrar.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	dateFiledByRegistrar
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::dateFiledByRegistrar
Stereotype
Template Parameter
Type	«TS» PointInTime
Upper	1
Upper Value	(1)
Visibility	Public

 dateLastNormalMensesBegan

Public «TS» PointInTime dateLastNormalMensesBegan

[US Standard Certificate Of Birth Field 39]. Indicates the date on which the infant's mother last experienced the beginning of a normal menstrual cycle.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	dateLastNormalMensesBegan
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::dateLastNormalMensesBegan
Stereotype
Template Parameter
Type	«TS» PointInTime
Upper	1
Upper Value	(1)
Visibility	Public

 dateOfFirstPrenatalVisit

Public «TS» PointInTime dateOfFirstPrenatalVisit

[US Standard Certificate Of Birth Field 29a]. Provides the date of the first pre-natal care visit for the pregnancy resulting in this birth. Note that Box 29a also has a "No Prenatal care" checkbox, which is not modeled; it is assumed that this box can be calculated based on whether or not numberOfPrenatalVisits = 0.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	dateOfFirstPrenatalVisit
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::dateOfFirstPrenatalVisit
Stereotype
Template Parameter
Type	«TS» PointInTime
Upper	1
Upper Value	(1)
Visibility	Public

 dateOfLastLiveBirth

Public «TS» PointInTime dateOfLastLiveBirth

[US Standard Certificate Of Birth Field 35c]. Indicates the date on which the last child was born alive (e.g., not stillborn) to this infant's mother before this infant was born (i.e., not including this child).

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	dateOfLastLiveBirth
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::dateOfLastLiveBirth
Stereotype
Template Parameter
Type	«TS» PointInTime
Upper	1
Upper Value	(1)
Visibility	Public

 dateOfLastOtherPregnancyOutcome

Public «TS» PointInTime dateOfLastOtherPregnancyOutcome

[US Standard Certificate Of Birth Field 36b]. Indicates the date on which the last "other pregnancy outcome (spontaneous or induced losses or ectopic pregnancies)" occurred.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	dateOfLastOtherPregnancyOutcome
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::dateOfLastOtherPregnancyOutcome
Stereotype
Template Parameter
Type	«TS» PointInTime
Upper	1
Upper Value	(1)
Visibility	Public

 dateOfLastPrenatalVisit

Public «TS» PointInTime dateOfLastPrenatalVisit

[US Standard Certificate Of Birth Field 29b]. Provides the date of the last pre-natal care visit for the pregnancy resulting in this birth.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	dateOfLastPrenatalVisit
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::dateOfLastPrenatalVisit
Stereotype
Template Parameter
Type	«TS» PointInTime
Upper	1
Upper Value	(1)
Visibility	Public

 didMotherReceiveWicFood

Public Boolean didMotherReceiveWicFood

[US Standard Certificate Of Birth Field 34]. Indicates whether the mother received Women and Infant Children (WIC) food assistance for herself during this pregnancy.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	didMotherReceiveWicFood
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::didMotherReceiveWicFood
Stereotype
Template Parameter
Type	Boolean
Upper	1
Upper Value	(1)
Visibility	Public

 father

Public Father father

Contains demographic information about the newborn's father. Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes. This class would probably not be instantiated in actual implentations.

Constraints:

Properties:

Aggregation	None
Alias
Association	birthCertificate_father
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1..*
Name	father
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::father
Stereotype
Template Parameter
Type	Father
Upper	*
Upper Value	(*)
Visibility	Public

 hasPaternityAcknowledgementBeenSigned

Public Boolean hasPaternityAcknowledgementBeenSigned

[US Standard Certificate Of Birth Field 15]. If the isMotherMarried property is false, i.e., the infant's mother was not married at birth, conception, or any time in between, this property indicates whether the father has signed a paternity acknowlegement.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	hasPaternityAcknowledgementBeenSigned
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::hasPaternityAcknowledgementBeenSigned
Stereotype
Template Parameter
Type	Boolean
Upper	1
Upper Value	(1)
Visibility	Public

 infantTransferredToFacility

Public String infantTransferredToFacility

[US Standard Certificate Of Birth Field 56]. If the infant was transferred to another facility within 24 hours of delivery (i.e., wasInfantTransferred = true), this property is used to identify the receiving facility. Not used when wasInfantTransferred = false.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	infantTransferredToFacility
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::infantTransferredToFacility
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 infection

Public Infection infection

[US Standard Certificate Of Birth Field 42]. Contains a list of infections present and/or treated during this pregnancy. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Gonorrhea; Syphilis; Chlamydia; Hepatitis B; Hepatitis C; None of the above.

Constraints:

Properties:

Aggregation	None
Alias
Association	birthCertificate_infection
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	infection
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::infection
Stereotype
Template Parameter
Type	Infection
Upper	*
Upper Value	(*)
Visibility	Public

 isInfantBreastFed

Public Boolean isInfantBreastFed

[US Standard Certificate Of Birth Field 58]. Indicates whether the infant was being breastfed at the time of discharge.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	isInfantBreastFed
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::isInfantBreastFed
Stereotype
Template Parameter
Type	Boolean
Upper	1
Upper Value	(1)
Visibility	Public

 isInfantLiving

Public «CS» Code isInfantLiving

[US Standard Certificate Of Birth Field 57]. Indicates whether the infant is living at the time the report (i.e., the US Standard Certificate Of Birth) was completed.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	isInfantLiving
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::isInfantLiving
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 laborAndDeliveryCharacteristic

Public LaborAndDeliveryCharacteristic laborAndDeliveryCharacteristic

[US Standard Certificate Of Birth Field 45]. Contains a list of observations regarding the labor and delivery of the infant. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Induction of labor; Augmentation of labor; Non-vertex presentation; Steroids (glucocorticoids) for fetal long maturation received by the mother prior to delivery; Antibiotics received by the mother during labor; Clinical chorioamnionitis diagnosed during labor or maternal temperature >= 38C (100.4F); Moderate/heavy meconium staining of the amniotic fluid; Fetal intolerance of labor such that one or more of the following actions were taken: in-utero resuscitative measures, further fetal assessment, or operative delivery; Epidural or spinal anesthesia during labor; None of the above.

Constraints:

Properties:

Aggregation	None
Alias
Association	birthCertificate_laborAndDeliveryCharacteristic
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	laborAndDeliveryCharacteristic
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::laborAndDeliveryCharacteristic
Stereotype
Template Parameter
Type	LaborAndDeliveryCharacteristic
Upper	*
Upper Value	(*)
Visibility	Public

 maternalMorbidity

Public MaternalMorbidity maternalMorbidity

[US Standard Certificate Of Birth Field 47]. Contains a list of complications associated with labor and delivery. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Maternal transfusion; Third or fourth degree perineal laceration; ruptured uterus; Unplanned hysterectomy; Admission to intensive care unit; Unplanned operating room procedure following delivery; None of the above.

Constraints:

Properties:

Aggregation	None
Alias
Association	birthCertificate_maternalMorbidity
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	maternalMorbidity
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::maternalMorbidity
Stereotype
Template Parameter
Type	MaternalMorbidity
Upper	*
Upper Value	(*)
Visibility	Public

 methodOfDelivery

Public MethodOfDelivery methodOfDelivery

[US Standard Certificate Of Birth Field 46]. Contains a list of observations regarding the delivery of the infant. Possible values include: Was delivery with forceps attempted by unsuccessful? - Yes; Was delivery with forceps attempted by unsuccessful? - No; Was delivery with vacuum extraction attempted by unsuccessful? - Yes; Was delivery with vacuum extraction attempted by unsuccessful? - No; Fetal presentation at birth, Cephalic; Fetal presentation at birth, Breech; Fetal presentation at birth, Other; Final route and method of delivery, Vaginal/Spontaneous; Final route and method of delivery, Vaginal/Forceps; Final route and method of delivery, Vaginal/Vacuum; Final route and method of delivery, Cesarean, trial of labor attempted; Cesarean, trial of labor not attempted.

Constraints:

Properties:

Aggregation	None
Alias
Association	birthCertificate_methodOfDelivery
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	methodOfDelivery
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::methodOfDelivery
Stereotype
Template Parameter
Type	MethodOfDelivery
Upper	*
Upper Value	(*)
Visibility	Public

 mother

Public Mother mother

Contains demographic information about the newborn's mother. Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes. This class would probably not be instantiated in actual implentations.

Constraints:

Properties:

Aggregation	None
Alias
Association	birthCertificate_mother
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	mother
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::mother
Stereotype
Template Parameter
Type	Mother
Upper	1
Upper Value	(1)
Visibility	Public

 mothersHeight

Public «PQ» Quantity mothersHeight

[US Standard Certificate Of Birth Field 31]. Indicates the infant's mother height (displayed in feet/inches).

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	mothersHeight
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::mothersHeight
Stereotype
Template Parameter
Type	«PQ» Quantity
Upper	1
Upper Value	(1)
Visibility	Public

 mothersPrePregnancyWeight

Public «PQ» Quantity mothersPrePregnancyWeight

[US Standard Certificate Of Birth Field 32]. Indicates the weight, in pounds, that the infant's mother normally weighed before this pregnancy.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	mothersPrePregnancyWeight
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::mothersPrePregnancyWeight
Stereotype
Template Parameter
Type	«PQ» Quantity
Upper	1
Upper Value	(1)
Visibility	Public

 mothersWeightAtDelivery

Public «PQ» Quantity mothersWeightAtDelivery

[US Standard Certificate Of Birth Field 33]. Indicates the weight, in pounds, that the infant's mother weighed just before delivery.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	mothersWeightAtDelivery
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::mothersWeightAtDelivery
Stereotype
Template Parameter
Type	«PQ» Quantity
Upper	1
Upper Value	(1)
Visibility	Public

 motherTransferedFromFacility

Public String motherTransferedFromFacility

[US Standard Certificate Of Birth Field 28]. If the mother was transferred from another facility for maternal medical or fetal indications for delivery (i.e., wasMotherTransferred = true), this property is used to identify the transferring facility. Not used when wasMotherTransferred = false.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	motherTransferedFromFacility
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::motherTransferedFromFacility
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 multipleBirthOrder

Public Integer multipleBirthOrder

[US Standard Certificate Of Birth Field 53]. Note that this property can probably be derived, as it is stored as part of the infant's Person record. "When a patient was part of a multiple birth, a value (number) indicating the patient's birth order is entered in this field." - HL7 Version 2.8, PID-25. If the biological entity was born along with other siblings, this property indicates the order the entity was born. For example, for a set of twins, this property indicates which twin was born first, and which was born second.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	true
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	multipleBirthOrder
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::multipleBirthOrder
Stereotype
Template Parameter
Type	Integer
Upper	1
Upper Value	(1)
Visibility	Public

 newbornAbnormalCondition

Public NewbornAbnormalCondition newbornAbnormalCondition

[US Standard Certificate Of Birth Field 54]. Contains a list of abnormal conditions of the newborn. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Assisted ventilation required immediately following delivery; Assisted ventilation required for more than six hours; NICU admission; Newborn given surfactant replacement therapy; Antibiotics received by the newborn for suspected neonatal sepsis; Seizure or serious neurologic dysfunction; Significant birth injury (skeletal fractures(s), peripheral nerve injury, and/or soft tissue/solid organ hemorrhage which require intervention); None of the above.

Constraints:

Properties:

Aggregation	None
Alias
Association	birthCertificate_newbornAbnormalCondition
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	newbornAbnormalCondition
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::newbornAbnormalCondition
Stereotype
Template Parameter
Type	NewbornAbnormalCondition
Upper	*
Upper Value	(*)
Visibility	Public

 newbornCongenitalAnomaly

Public NewbornCongenitalAnomaly newbornCongenitalAnomaly

[US Standard Certificate Of Birth Field 55]. Contains a list of congenital anomalies of the newborn. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of anomalies listed above", so if that one is chosen, there should not be any others chosen. Possible values include: Anencephaly; Meningomyelocele/Spinal bifida; Cyanotic congenital heart disease; Congenital diaphramic hernia; Omphalocele; Gastroschisis; Limb reduction defect (excluding congenital amputation and dwarfing syndromes); Cleft lip with or without cleft palate; Cleft palate alone; Down Syndrome, Karyotype confirmed; Down Syndrome, Karyotype pending; Suspected chromosomal disorder, Karyotype confirmed; Suspected chromosomal disorder, Karyotype pending; Hypospadias; None of anomalies listed above.

Constraints:

Properties:

Aggregation	None
Alias
Association	birthCertificate_newbornCongenitalAnomaly
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	newbornCongenitalAnomaly
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::newbornCongenitalAnomaly
Stereotype
Template Parameter
Type	NewbornCongenitalAnomaly
Upper	*
Upper Value	(*)
Visibility	Public

 newbornsMedicalRecordId

Public String newbornsMedicalRecordId

[US Standard Certificate Of Birth Field 48]. Uniquely identifies the newborn's medical record within the institution's set of records. Note that this is modeled as a string, as this is all that is called for by the form, but it might be more properly modeled as an Id.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	newbornsMedicalRecordId
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::newbornsMedicalRecordId
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 numberOfChildrenNowDead

Public Integer numberOfChildrenNowDead

[US Standard Certificate Of Birth Field 35b]. Indicates the number, of the children born alive to this infant's mother before this infant was born, that have since died. Note that Box 35b has a checkbox titled "None", which is not modeled - it is assumed that this checkbox can be calculated based on whether or not numberOfPreviousLiveBirths = 0).

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	numberOfChildrenNowDead
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::numberOfChildrenNowDead
Stereotype
Template Parameter
Type	Integer
Upper	1
Upper Value	(1)
Visibility	Public

 numberOfChildrenNowLiving

Public Integer numberOfChildrenNowLiving

[US Standard Certificate Of Birth Field 35a]. Indicates the number, of the children born alive to this infant's mother before this infant was born, that are still alive. Note that Box 35a has a checkbox titled "None", which is not modeled - it is assumed that this checkbox can be calculated based on whether or not numberOfPreviousLiveBirths = 0).

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	numberOfChildrenNowLiving
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::numberOfChildrenNowLiving
Stereotype
Template Parameter
Type	Integer
Upper	1
Upper Value	(1)
Visibility	Public

 numberOfOtherPregnancyOutcomes

Public Integer numberOfOtherPregnancyOutcomes

[US Standard Certificate Of Birth Field 36a]. Indicates the number of "other pregnancy outcomes (spontaneous or induced losses or ectopic pregnancies)" Note that Box 36a has a checkbox titled "None", which is not modeled - it is assumed that this checkbox can be calculated based on whether or this property is equal to 0.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	numberOfOtherPregnancyOutcomes
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::numberOfOtherPregnancyOutcomes
Stereotype
Template Parameter
Type	Integer
Upper	1
Upper Value	(1)
Visibility	Public

 numberOfPrenatalVisits

Public Integer numberOfPrenatalVisits

[US Standard Certificate Of Birth Field 30]. Provides the number of pre-natal care visits for the pregnancy resulting in this birth. Note that Box 29a also has a "No Prenatal care" checkbox, which is not modeled; it is assumed that this box can be calculated based on whether or not numberOfPrenatalVisits = 0.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	numberOfPrenatalVisits
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::numberOfPrenatalVisits
Stereotype
Template Parameter
Type	Integer
Upper	1
Upper Value	(1)
Visibility	Public

 numberOfPreviousLiveBirths

Public Integer numberOfPreviousLiveBirths

[US Standard Certificate Of Birth Field 35]. Indicates the number of children born alive (e.g., not stillborn) to this infant's mother before this infant was born (i.e., not including this child).

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	BirthCertificate
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	numberOfPreviousLiveBirths
Name Expression
Namespace	BirthCertificate
Opposite
Owner	BirthCertificate
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Person::BirthCertificate::BirthCertificate::numberOfPreviousLiveBirths
Stereotype
Template Parameter
Type	Integer
Upper	1
Upper Value	(1)
Visibility	Public