This transaction is used to communicate clinician-sourced birth and fetal death information from the Information Source to the Information Recipient. This transaction may alternatively be initiated by a Form Receiver Message Exporter and communicated to the Information Recipient. This transaction uses the Health Level Seven International (HL7) Version 2.5.1 Implementation Guide (IG): Reporting Birth and Fetal Death information From the EHR to Vital Records Draft Standard for Trial Use (DSTU).