This page is part of the Medicolegal Death Investigation (MDI) (v2.0.0-ballot2: STU 2 Ballot 3) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

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Resource Profile: Composition - MDI and EDRS

The body of a document exchanged between an MDI CMS and an EDRS for development of a death certificate.

Usage:

• Use this Resource Profile: Bundle - Document MDI and EDRS
• Examples for this Resource Profile: Composition/composition-mdi-and-edrs-a-freeman and Composition/composition-mdi-and-edrs-draft

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition			Composition
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension-tracking-numbers	S	0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number Binding: Tracking Number Type (extensible)
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	MDI and EDRS (Death administrative information Document) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
subject	S	1..1	Reference(Patient - Vital Records)	The subject of the composition is the decedent.
author	S	1..1	Reference(Practitioner - Vital Records)	Death certifier. If the author is not available, explain using data-absent-reason Extension
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension
party	S	0..1	Reference(Practitioner - Vital Records)	Who attested the composition
Slices for section	S	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason. Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
code		1..1	CodeableConcept	Classification of section (recommended)
section:additional-demographics		0..1	BackboneElement	This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
text	S	0..1	string	Plain text representation of the concept
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
section:circumstances		0..1	BackboneElement	This slice contains circumstances of the death.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location		0..1	Reference(Death Location)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death		0..1	Reference(Tobacco Use Contributed To Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy		0..1	Reference(Decedent Pregnancy)	Pregnancy status of the decedent.
entry:injury-location		0..1	Reference(Injury Location)	Apparent address where injury occurred.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:jurisdiction		0..1	BackboneElement	This slice contains jurisdictional information about the death.
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date		0..1	Reference(Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner.
entry:death-certification		0..1	Reference(Death Certification Procedure)	The procedure where the certification of death was performed by the certifier.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:cause-manner		0..1	BackboneElement	This slice contains information about the cause and manner of death.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause		0..4	Reference(MDI Cause Of Death Part 1)	Up to 4 lines of cause of death.
entry:other-condition		0..1	Reference(Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner		0..1	Reference(Manner of Death)	Manner of death
entry:how-injury		0..1	Reference(Injury Incident)	Certified explanation of how injury occurred.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:medical-history		0..1	BackboneElement	This slice contains relevant medical history about the decedent.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	S	0..1	Narrative	Narrative medical condition
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition		0..*	Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)	Coded medical conditions.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:exam-autopsy		0..1	BackboneElement	This slice contains exam and autopsy information.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
text	S	0..1	Narrative	Description of autopsy findings
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:autopsy-performed		0..1	Reference(Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
entry:autopsy-location		0..1	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location.
section:narratives		0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
text	S	0..1	Narrative	Additional death investigation narrative descriptions.
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension-tracking-numbers	S	0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number Binding: Tracking Number Type (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	MDI and EDRS (Death administrative information Document) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
subject	SΣ	1..1	Reference(Patient - Vital Records)	The subject of the composition is the decedent. ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	Composition editing time ele-1: All FHIR elements must have a @value or children
author	SΣ	1..1	Reference(Practitioner - Vital Records)	Death certifier. If the author is not available, explain using data-absent-reason Extension ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	Human Readable name/title ele-1: All FHIR elements must have a @value or children
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children
party	S	0..1	Reference(Practitioner - Vital Records)	Who attested the composition ele-1: All FHIR elements must have a @value or children
Slices for section	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason. Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children
section:additional-demographics	C	0..1	BackboneElement	This slice contains demographic information about the decedent that is not represented in the decedent Patient profile. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	C	0..*	Reference(Resource)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:circumstances	C	0..1	BackboneElement	This slice contains circumstances of the death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:death-location	C	0..1	Reference(Death Location)	Apparent address where death actually occurred. ele-1: All FHIR elements must have a @value or children
entry:tobacco-use-contributed-to-death	C	0..1	Reference(Tobacco Use Contributed To Death)	Whether or not tobacco use contributed to death. ele-1: All FHIR elements must have a @value or children
entry:decedent-pregnancy	C	0..1	Reference(Decedent Pregnancy)	Pregnancy status of the decedent. ele-1: All FHIR elements must have a @value or children
entry:injury-location	C	0..1	Reference(Injury Location)	Apparent address where injury occurred. ele-1: All FHIR elements must have a @value or children
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:jurisdiction	C	0..1	BackboneElement	This slice contains jurisdictional information about the death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:death-date	C	0..1	Reference(Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner. ele-1: All FHIR elements must have a @value or children
entry:death-certification	C	0..1	Reference(Death Certification Procedure)	The procedure where the certification of death was performed by the certifier. ele-1: All FHIR elements must have a @value or children
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:cause-manner	C	0..1	BackboneElement	This slice contains information about the cause and manner of death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:cause	C	0..4	Reference(MDI Cause Of Death Part 1)	Up to 4 lines of cause of death. ele-1: All FHIR elements must have a @value or children
entry:other-condition	C	0..1	Reference(Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause. ele-1: All FHIR elements must have a @value or children
entry:manner	C	0..1	Reference(Manner of Death)	Manner of death ele-1: All FHIR elements must have a @value or children
entry:how-injury	C	0..1	Reference(Injury Incident)	Certified explanation of how injury occurred. ele-1: All FHIR elements must have a @value or children
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:medical-history	C	0..1	BackboneElement	This slice contains relevant medical history about the decedent. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	SC	0..1	Narrative	Narrative medical condition ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:history-condition	C	0..*	Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)	Coded medical conditions. ele-1: All FHIR elements must have a @value or children
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:exam-autopsy	C	0..1	BackboneElement	This slice contains exam and autopsy information. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
text	SC	0..1	Narrative	Description of autopsy findings ele-1: All FHIR elements must have a @value or children
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:autopsy-performed	C	0..1	Reference(Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer. ele-1: All FHIR elements must have a @value or children
entry:autopsy-location	C	0..1	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location. ele-1: All FHIR elements must have a @value or children
section:narratives	C	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
text	SC	0..1	Narrative	Additional death investigation narrative descriptions. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 86807-5 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:additional-demographics.code	example	Pattern: demographics http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:circumstances.code	example	Pattern: circumstances http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:circumstances.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:jurisdiction.code	example	Pattern: jurisdiction http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:jurisdiction.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:cause-manner.code	example	Pattern: cause-manner http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:cause-manner.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:medical-history.code	example	Pattern: medical-history http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medical-history.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:exam-autopsy.code	example	Pattern: exam-autopsy http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:narratives.code	example	Pattern: narratives http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension-tracking-numbers	S	0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number Binding: Tracking Number Type (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	MDI and EDRS (Death administrative information Document) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient - Vital Records)	The subject of the composition is the decedent.
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..1	Reference(Practitioner - Vital Records)	Death certifier. If the author is not available, explain using data-absent-reason Extension
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party	S	0..1	Reference(Practitioner - Vital Records)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason. Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:additional-demographics	C	0..1	BackboneElement	This slice contains demographic information about the decedent that is not represented in the decedent Patient profile. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:circumstances	C	0..1	BackboneElement	This slice contains circumstances of the death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	C	0..1	Reference(Death Location)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death	C	0..1	Reference(Tobacco Use Contributed To Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	C	0..1	Reference(Decedent Pregnancy)	Pregnancy status of the decedent.
entry:injury-location	C	0..1	Reference(Injury Location)	Apparent address where injury occurred.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:jurisdiction	C	0..1	BackboneElement	This slice contains jurisdictional information about the death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	C	0..1	Reference(Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner.
entry:death-certification	C	0..1	Reference(Death Certification Procedure)	The procedure where the certification of death was performed by the certifier.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:cause-manner	C	0..1	BackboneElement	This slice contains information about the cause and manner of death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	C	0..4	Reference(MDI Cause Of Death Part 1)	Up to 4 lines of cause of death.
entry:other-condition	C	0..1	Reference(Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	C	0..1	Reference(Manner of Death)	Manner of death
entry:how-injury	C	0..1	Reference(Injury Incident)	Certified explanation of how injury occurred.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:medical-history	C	0..1	BackboneElement	This slice contains relevant medical history about the decedent. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Narrative medical condition
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	C	0..*	Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)	Coded medical conditions.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:exam-autopsy	C	0..1	BackboneElement	This slice contains exam and autopsy information. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Description of autopsy findings
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:autopsy-performed	C	0..1	Reference(Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
entry:autopsy-location	C	0..1	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:narratives	C	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Additional death investigation narrative descriptions.
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 86807-5 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:additional-demographics.code	example	Pattern: demographics http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:additional-demographics.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:additional-demographics.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:additional-demographics.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:circumstances.code	example	Pattern: circumstances http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:circumstances.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:circumstances.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:circumstances.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:jurisdiction.code	example	Pattern: jurisdiction http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:jurisdiction.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:jurisdiction.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:jurisdiction.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:cause-manner.code	example	Pattern: cause-manner http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:cause-manner.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:cause-manner.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:cause-manner.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:medical-history.code	example	Pattern: medical-history http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medical-history.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medical-history.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medical-history.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:exam-autopsy.code	example	Pattern: exam-autopsy http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:exam-autopsy.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:exam-autopsy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:exam-autopsy.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:narratives.code	example	Pattern: narratives http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:narratives.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:narratives.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:narratives.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 4 elements
Must-Support: 27 elements

Structures

This structure refers to these other structures:

• Patient - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr)
• Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
• Death Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location)
• Tobacco Use Contributed To Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death)
• Decedent Pregnancy (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status)
• Injury Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location)
• Death Date (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date)
• Death Certification Procedure (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification)
• MDI Cause Of Death Part 1 (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-mdi-cause-of-death-part1)
• Cause of Death Part 2 (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2)
• Manner of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death)
• Injury Incident (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident)
• US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis)
• US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns)
• Autopsy Performed Indicator (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section
• The element 1 is sliced based on the value of Composition.section.entry

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition			Composition
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension-tracking-numbers	S	0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number Binding: Tracking Number Type (extensible)
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	MDI and EDRS (Death administrative information Document) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
subject	S	1..1	Reference(Patient - Vital Records)	The subject of the composition is the decedent.
author	S	1..1	Reference(Practitioner - Vital Records)	Death certifier. If the author is not available, explain using data-absent-reason Extension
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension
party	S	0..1	Reference(Practitioner - Vital Records)	Who attested the composition
Slices for section	S	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason. Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
code		1..1	CodeableConcept	Classification of section (recommended)
section:additional-demographics		0..1	BackboneElement	This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
text	S	0..1	string	Plain text representation of the concept
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
section:circumstances		0..1	BackboneElement	This slice contains circumstances of the death.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location		0..1	Reference(Death Location)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death		0..1	Reference(Tobacco Use Contributed To Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy		0..1	Reference(Decedent Pregnancy)	Pregnancy status of the decedent.
entry:injury-location		0..1	Reference(Injury Location)	Apparent address where injury occurred.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:jurisdiction		0..1	BackboneElement	This slice contains jurisdictional information about the death.
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date		0..1	Reference(Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner.
entry:death-certification		0..1	Reference(Death Certification Procedure)	The procedure where the certification of death was performed by the certifier.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:cause-manner		0..1	BackboneElement	This slice contains information about the cause and manner of death.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause		0..4	Reference(MDI Cause Of Death Part 1)	Up to 4 lines of cause of death.
entry:other-condition		0..1	Reference(Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner		0..1	Reference(Manner of Death)	Manner of death
entry:how-injury		0..1	Reference(Injury Incident)	Certified explanation of how injury occurred.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:medical-history		0..1	BackboneElement	This slice contains relevant medical history about the decedent.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	S	0..1	Narrative	Narrative medical condition
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition		0..*	Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)	Coded medical conditions.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:exam-autopsy		0..1	BackboneElement	This slice contains exam and autopsy information.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
text	S	0..1	Narrative	Description of autopsy findings
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:autopsy-performed		0..1	Reference(Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
entry:autopsy-location		0..1	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location.
section:narratives		0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
text	S	0..1	Narrative	Additional death investigation narrative descriptions.
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension-tracking-numbers	S	0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number Binding: Tracking Number Type (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	MDI and EDRS (Death administrative information Document) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
subject	SΣ	1..1	Reference(Patient - Vital Records)	The subject of the composition is the decedent. ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	Composition editing time ele-1: All FHIR elements must have a @value or children
author	SΣ	1..1	Reference(Practitioner - Vital Records)	Death certifier. If the author is not available, explain using data-absent-reason Extension ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	Human Readable name/title ele-1: All FHIR elements must have a @value or children
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children
party	S	0..1	Reference(Practitioner - Vital Records)	Who attested the composition ele-1: All FHIR elements must have a @value or children
Slices for section	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason. Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children
section:additional-demographics	C	0..1	BackboneElement	This slice contains demographic information about the decedent that is not represented in the decedent Patient profile. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	C	0..*	Reference(Resource)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:circumstances	C	0..1	BackboneElement	This slice contains circumstances of the death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:death-location	C	0..1	Reference(Death Location)	Apparent address where death actually occurred. ele-1: All FHIR elements must have a @value or children
entry:tobacco-use-contributed-to-death	C	0..1	Reference(Tobacco Use Contributed To Death)	Whether or not tobacco use contributed to death. ele-1: All FHIR elements must have a @value or children
entry:decedent-pregnancy	C	0..1	Reference(Decedent Pregnancy)	Pregnancy status of the decedent. ele-1: All FHIR elements must have a @value or children
entry:injury-location	C	0..1	Reference(Injury Location)	Apparent address where injury occurred. ele-1: All FHIR elements must have a @value or children
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:jurisdiction	C	0..1	BackboneElement	This slice contains jurisdictional information about the death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:death-date	C	0..1	Reference(Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner. ele-1: All FHIR elements must have a @value or children
entry:death-certification	C	0..1	Reference(Death Certification Procedure)	The procedure where the certification of death was performed by the certifier. ele-1: All FHIR elements must have a @value or children
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:cause-manner	C	0..1	BackboneElement	This slice contains information about the cause and manner of death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:cause	C	0..4	Reference(MDI Cause Of Death Part 1)	Up to 4 lines of cause of death. ele-1: All FHIR elements must have a @value or children
entry:other-condition	C	0..1	Reference(Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause. ele-1: All FHIR elements must have a @value or children
entry:manner	C	0..1	Reference(Manner of Death)	Manner of death ele-1: All FHIR elements must have a @value or children
entry:how-injury	C	0..1	Reference(Injury Incident)	Certified explanation of how injury occurred. ele-1: All FHIR elements must have a @value or children
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:medical-history	C	0..1	BackboneElement	This slice contains relevant medical history about the decedent. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	SC	0..1	Narrative	Narrative medical condition ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:history-condition	C	0..*	Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)	Coded medical conditions. ele-1: All FHIR elements must have a @value or children
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:exam-autopsy	C	0..1	BackboneElement	This slice contains exam and autopsy information. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
text	SC	0..1	Narrative	Description of autopsy findings ele-1: All FHIR elements must have a @value or children
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:autopsy-performed	C	0..1	Reference(Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer. ele-1: All FHIR elements must have a @value or children
entry:autopsy-location	C	0..1	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location. ele-1: All FHIR elements must have a @value or children
section:narratives	C	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
text	SC	0..1	Narrative	Additional death investigation narrative descriptions. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 86807-5 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:additional-demographics.code	example	Pattern: demographics http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:circumstances.code	example	Pattern: circumstances http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:circumstances.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:jurisdiction.code	example	Pattern: jurisdiction http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:jurisdiction.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:cause-manner.code	example	Pattern: cause-manner http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:cause-manner.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:medical-history.code	example	Pattern: medical-history http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medical-history.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:exam-autopsy.code	example	Pattern: exam-autopsy http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:narratives.code	example	Pattern: narratives http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension-tracking-numbers	S	0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number Binding: Tracking Number Type (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	MDI and EDRS (Death administrative information Document) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient - Vital Records)	The subject of the composition is the decedent.
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..1	Reference(Practitioner - Vital Records)	Death certifier. If the author is not available, explain using data-absent-reason Extension
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party	S	0..1	Reference(Practitioner - Vital Records)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason. Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:additional-demographics	C	0..1	BackboneElement	This slice contains demographic information about the decedent that is not represented in the decedent Patient profile. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:circumstances	C	0..1	BackboneElement	This slice contains circumstances of the death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	C	0..1	Reference(Death Location)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death	C	0..1	Reference(Tobacco Use Contributed To Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	C	0..1	Reference(Decedent Pregnancy)	Pregnancy status of the decedent.
entry:injury-location	C	0..1	Reference(Injury Location)	Apparent address where injury occurred.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:jurisdiction	C	0..1	BackboneElement	This slice contains jurisdictional information about the death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	C	0..1	Reference(Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner.
entry:death-certification	C	0..1	Reference(Death Certification Procedure)	The procedure where the certification of death was performed by the certifier.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:cause-manner	C	0..1	BackboneElement	This slice contains information about the cause and manner of death. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	C	0..4	Reference(MDI Cause Of Death Part 1)	Up to 4 lines of cause of death.
entry:other-condition	C	0..1	Reference(Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	C	0..1	Reference(Manner of Death)	Manner of death
entry:how-injury	C	0..1	Reference(Injury Incident)	Certified explanation of how injury occurred.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:medical-history	C	0..1	BackboneElement	This slice contains relevant medical history about the decedent. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Narrative medical condition
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	C	0..*	Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)	Coded medical conditions.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:exam-autopsy	C	0..1	BackboneElement	This slice contains exam and autopsy information. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Description of autopsy findings
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:autopsy-performed	C	0..1	Reference(Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
entry:autopsy-location	C	0..1	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:narratives	C	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Additional death investigation narrative descriptions.
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 86807-5 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:additional-demographics.code	example	Pattern: demographics http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:additional-demographics.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:additional-demographics.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:additional-demographics.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:circumstances.code	example	Pattern: circumstances http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:circumstances.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:circumstances.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:circumstances.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:jurisdiction.code	example	Pattern: jurisdiction http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:jurisdiction.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:jurisdiction.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:jurisdiction.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:cause-manner.code	example	Pattern: cause-manner http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:cause-manner.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:cause-manner.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:cause-manner.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:medical-history.code	example	Pattern: medical-history http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medical-history.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medical-history.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medical-history.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:exam-autopsy.code	example	Pattern: exam-autopsy http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:exam-autopsy.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:exam-autopsy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:exam-autopsy.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:narratives.code	example	Pattern: narratives http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:narratives.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:narratives.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:narratives.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 4 elements
Must-Support: 27 elements

Structures

This structure refers to these other structures:

• Patient - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr)
• Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
• Death Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location)
• Tobacco Use Contributed To Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death)
• Decedent Pregnancy (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status)
• Injury Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location)
• Death Date (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date)
• Death Certification Procedure (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification)
• MDI Cause Of Death Part 1 (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-mdi-cause-of-death-part1)
• Cause of Death Part 2 (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2)
• Manner of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death)
• Injury Incident (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident)
• US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis)
• US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns)
• Autopsy Performed Indicator (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section
• The element 1 is sliced based on the value of Composition.section.entry