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 utilizes actors and transactions defined in the ITI Retrieve Form for Data Capture (RFD) Profile to capture structured data using digital forms. 

BFDR-E defines a specialized Labor and Delivery Summary (LDS-VR) CDA document. The LDS-VR document is used to prepopulate an electronic form (worksheet) that collects the information needed for submission to vital records. BFDR-E supports pre-population of the worksheet form using either the specialized LDS-VR document or a more general Labor and Delivery Summary (LDS) document that does not conform to all the further constraints of an LDS-VR document. Use of the LDS-VR pre-population option optimizes the initial Birth and Fetal Death Report form data population. 

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 defines a Form Receiver CDA Exporter Actor to perform the transform on the form submission data  and share that document with a Content Consumer. BFDR-E defines the IHE BFDR Document Template which adapts the HL7 BFDR CDA document template to support standard interchange of the information gathered from the form.

BFDR-E also defines a mechanism to transform form submission data and transmit it as a standard HL7 v2 message. The IHE BFDR Message adapts the HL7 V2.5.1 BFDR Message for this purpose. BFDR-E defines the BFDRfeed transaction to transmit this message. The BFDRfeed transaction is just like the VRDRfeed [QRPH-38] transaction defined in the QRPH Vital Records Profile, but is carries a different message payload. 
