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 - Death Certificate Review

The body of a document exchanged between an EDRS and an MDI CMS for a death certificate review for the purpose of death data quality improvement, cremation clearance, or other workflow. It can contain EDRS death certificate structured data.

Usage:

• Use this Resource Profile: Bundle - Document Death Certificate Review
• Examples for this Resource Profile: Composition/composition-mdi-ccr-ex3, Composition/composition-mdi-ccr-ex4, Composition/composition-mdi-dcr-ex1 and Composition/composition-mdi-dcr-ex2

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		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 EDRS 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)
extension-death-certificate-status		0..*	(Complex)	Death Certificate workflow status URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
extension-cremation-clearance-status		0..1	CodeableConcept	Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status Binding: ValueSet - Cremation Clearance Status example (example)
extension-me-certification-affirmation		0..1	CodeableConcept	Indicates whether the Medical Examiner certification has been affirmed or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation Binding: ValueSet - Medical Examiner Certification Affirmation example (example)
extension-cremation-clearance-coroner		0..1	CodeableConcept	Indicates whether the Cremation Clearance is a Coroner workflow or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
extension-cremation-clearance-signature		0..1	CodeableConcept	Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature Binding: ValueSet - Cremation Clearance Status example (example)
subject		1..1	Reference(Decedent)	Who and/or what the composition is about
Slices for section		0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
code		1..1	CodeableConcept	Classification of section (recommended)
section:DecedentDemographics		0..1	BackboneElement	DecedentDemographics section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDemographics
Slices for entry		1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Decedent		1..1	Reference(Decedent)	Decedent
entry:Father		0..1	Reference(Decedent Father)	DecedentFather
entry:Mother		0..1	Reference(Decedent Mother)	DecedentMother
entry:Spouse		0..1	Reference(Decedent Spouse)	DecedentSpouse
entry:Age		0..1	Reference(Decedent Age)	DecedentAge
entry:BirthRecordID		0..1	Reference(Birth Record Identifier Infant)	BirthRecordIdentifier
entry:FetalDeathRecordID		0..1	Reference(Fetal Death Record Identifier)	FetalDeathRecordIdentifier
entry:BirthRecordIDChild		0..1	Reference(Birth Record Identifier Child)	BirthRecordIdentifierChild
entry:EducationLevel		0..1	Reference(Decedent Education Level)	DecedentEducationLevel
entry:MilitaryService		0..1	Reference(Decedent Military Service)	DecedentMilitaryService
entry:UsualWork		0..1	Reference(Decedent Usual Work)	DecedentUsualWork
entry:EmergingIssues		0..1	Reference(Observation - Emerging Issues Vital Records)	EmergingIssues
entry:InputRaceAndEthnicity		0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	InputRaceAndEthnicity
section:DeathInvestigation		0..1	BackboneElement	DeathInvestigation section from VRDR Death Certificate Composition for review
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathInvestigation
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ExaminerContacted		0..1	Reference(Examiner Contacted)	ExaminerContacted
entry:PregnancyStatus		0..1	Reference(Decedent Pregnancy)	DecedentPregnancyStatus
entry:TobaccoUse		0..1	Reference(Tobacco Use Contributed To Death)	TobaccoUse
entry:DeathLocation		0..1	Reference(Death Location)	Death Location
entry:InjuryLocation		0..1	Reference(Injury Location)	Injury Location
entry:InjuryIncident		0..1	Reference(Injury Incident)	InjuryIncident
entry:Autopsy		0..1	Reference(Autopsy Performed Indicator)	AutopsyPerformedIndicator
entry:DeathDate		0..1	Reference(Death Date)	DeathDate
entry:SurgeryDate		0..1	Reference(Surgery Date)	SurgeryDate
section:DeathCertification		0..1	BackboneElement	DeathCertification section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathCertification
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Certifier		0..1	Reference(Practitioner - Vital Records)	Certifier
entry:DeathCertification		0..1	Reference(Death Certification Procedure)	DeathCertification
entry:MannerOfDeath		0..1	Reference(Manner of Death)	MannerOfDeath
entry:CauseOfDeathPart1		0..4	Reference(Cause Of Death Part 1)	CauseOfDeathPart1
entry:CauseOfDeathPart2		0..1	Reference(Cause of Death Part 2)	CauseOfDeathPart2
section:DecedentDisposition		0..1	BackboneElement	DecedentDisposition section from VRDR Death Certificate Composition for review
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDisposition
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:DispositionLocation		0..1	Reference(Disposition Location)	DispositionLocation
entry:FuneralHome		0..1	Reference(Funeral Home)	FuneralHome
entry:DispositionMethod		0..1	Reference(Decedent Disposition Method)	DispositionMethod
entry:Mortician		0..1	Reference(Mortician)	Mortician
section:Death-Certificate-data-review		0..1	BackboneElement	Death Certificate Data Review Results Section
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: Death-Certificate-data-review
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:med-info-quality-review		0..1	Reference(Observation - Medical Information Data Quality)	Medical information data quality review status
entry:personal-info-quality-review		0..1	Reference(Observation - Personal Information Data Quality)	Personal information data quality review status
section:cremation-clearance-info		0..1	BackboneElement	Cremation Clearance information
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cremation-clearance-info
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:authorizing-agent		0..1	Reference(US Core RelatedPerson Profile)	Individual authorizing cremation, often next-of-kin
entry:embalmed		0..1	Reference(Observation - Embalmed)	Was body embalmed?
entry:communicable-disease		0..1	Reference(Observation - Communicable Disease)	Did Decedent have a communicable disease?
entry:cause-of-death-certifier		0..1	Reference(Death Certifier)	Death Certificate certifier, often attending physician
entry:funeral-home		0..1	Reference(Funeral Home)	Funeral home
entry:mortician		0..1	Reference(Mortician)	Mortician
entry:crematorium		0..1	Reference(Organization - Crematorium)	Crematorium
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		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 EDRS 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
extension-death-certificate-status		0..*	(Complex)	Death Certificate workflow status URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension-cremation-clearance-status		0..1	CodeableConcept	Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status Binding: ValueSet - Cremation Clearance Status example (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension-me-certification-affirmation		0..1	CodeableConcept	Indicates whether the Medical Examiner certification has been affirmed or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation Binding: ValueSet - Medical Examiner Certification Affirmation example (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension-cremation-clearance-coroner		0..1	CodeableConcept	Indicates whether the Cremation Clearance is a Coroner workflow or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension-cremation-clearance-signature		0..1	CodeableConcept	Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature Binding: ValueSet - Cremation Clearance Status example (example) 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	?!Σ	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	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Decedent)	Who and/or what the composition is about 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	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition 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
Slices for section	C	0..*	BackboneElement	Composition is broken into sections 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:DecedentDemographics	C	0..1	BackboneElement	DecedentDemographics section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDemographics
Slices for entry	C	1..*	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:Decedent	C	1..1	Reference(Decedent)	Decedent ele-1: All FHIR elements must have a @value or children
entry:Father	C	0..1	Reference(Decedent Father)	DecedentFather ele-1: All FHIR elements must have a @value or children
entry:Mother	C	0..1	Reference(Decedent Mother)	DecedentMother ele-1: All FHIR elements must have a @value or children
entry:Spouse	C	0..1	Reference(Decedent Spouse)	DecedentSpouse ele-1: All FHIR elements must have a @value or children
entry:Age	C	0..1	Reference(Decedent Age)	DecedentAge ele-1: All FHIR elements must have a @value or children
entry:BirthRecordID	C	0..1	Reference(Birth Record Identifier Infant)	BirthRecordIdentifier ele-1: All FHIR elements must have a @value or children
entry:FetalDeathRecordID	C	0..1	Reference(Fetal Death Record Identifier)	FetalDeathRecordIdentifier ele-1: All FHIR elements must have a @value or children
entry:BirthRecordIDChild	C	0..1	Reference(Birth Record Identifier Child)	BirthRecordIdentifierChild ele-1: All FHIR elements must have a @value or children
entry:EducationLevel	C	0..1	Reference(Decedent Education Level)	DecedentEducationLevel ele-1: All FHIR elements must have a @value or children
entry:MilitaryService	C	0..1	Reference(Decedent Military Service)	DecedentMilitaryService ele-1: All FHIR elements must have a @value or children
entry:UsualWork	C	0..1	Reference(Decedent Usual Work)	DecedentUsualWork ele-1: All FHIR elements must have a @value or children
entry:EmergingIssues	C	0..1	Reference(Observation - Emerging Issues Vital Records)	EmergingIssues ele-1: All FHIR elements must have a @value or children
entry:InputRaceAndEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	InputRaceAndEthnicity ele-1: All FHIR elements must have a @value or children
section:DeathInvestigation	C	0..1	BackboneElement	DeathInvestigation section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathInvestigation
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:ExaminerContacted	C	0..1	Reference(Examiner Contacted)	ExaminerContacted ele-1: All FHIR elements must have a @value or children
entry:PregnancyStatus	C	0..1	Reference(Decedent Pregnancy)	DecedentPregnancyStatus ele-1: All FHIR elements must have a @value or children
entry:TobaccoUse	C	0..1	Reference(Tobacco Use Contributed To Death)	TobaccoUse ele-1: All FHIR elements must have a @value or children
entry:DeathLocation	C	0..1	Reference(Death Location)	Death Location ele-1: All FHIR elements must have a @value or children
entry:InjuryLocation	C	0..1	Reference(Injury Location)	Injury Location ele-1: All FHIR elements must have a @value or children
entry:InjuryIncident	C	0..1	Reference(Injury Incident)	InjuryIncident ele-1: All FHIR elements must have a @value or children
entry:Autopsy	C	0..1	Reference(Autopsy Performed Indicator)	AutopsyPerformedIndicator ele-1: All FHIR elements must have a @value or children
entry:DeathDate	C	0..1	Reference(Death Date)	DeathDate ele-1: All FHIR elements must have a @value or children
entry:SurgeryDate	C	0..1	Reference(Surgery Date)	SurgeryDate ele-1: All FHIR elements must have a @value or children
section:DeathCertification	C	0..1	BackboneElement	DeathCertification section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathCertification
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:Certifier	C	0..1	Reference(Practitioner - Vital Records)	Certifier ele-1: All FHIR elements must have a @value or children
entry:DeathCertification	C	0..1	Reference(Death Certification Procedure)	DeathCertification ele-1: All FHIR elements must have a @value or children
entry:MannerOfDeath	C	0..1	Reference(Manner of Death)	MannerOfDeath ele-1: All FHIR elements must have a @value or children
entry:CauseOfDeathPart1	C	0..4	Reference(Cause Of Death Part 1)	CauseOfDeathPart1 ele-1: All FHIR elements must have a @value or children
entry:CauseOfDeathPart2	C	0..1	Reference(Cause of Death Part 2)	CauseOfDeathPart2 ele-1: All FHIR elements must have a @value or children
section:DecedentDisposition	C	0..1	BackboneElement	DecedentDisposition section from VRDR Death Certificate Composition for review cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDisposition
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:DispositionLocation	C	0..1	Reference(Disposition Location)	DispositionLocation ele-1: All FHIR elements must have a @value or children
entry:FuneralHome	C	0..1	Reference(Funeral Home)	FuneralHome ele-1: All FHIR elements must have a @value or children
entry:DispositionMethod	C	0..1	Reference(Decedent Disposition Method)	DispositionMethod ele-1: All FHIR elements must have a @value or children
entry:Mortician	C	0..1	Reference(Mortician)	Mortician ele-1: All FHIR elements must have a @value or children
section:Death-Certificate-data-review	C	0..1	BackboneElement	Death Certificate Data Review Results Section 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: Death-Certificate-data-review
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:med-info-quality-review	C	0..1	Reference(Observation - Medical Information Data Quality)	Medical information data quality review status ele-1: All FHIR elements must have a @value or children
entry:personal-info-quality-review	C	0..1	Reference(Observation - Personal Information Data Quality)	Personal information data quality review status ele-1: All FHIR elements must have a @value or children
section:cremation-clearance-info	C	0..1	BackboneElement	Cremation Clearance information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cremation-clearance-info
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:authorizing-agent	C	0..1	Reference(US Core RelatedPerson Profile)	Individual authorizing cremation, often next-of-kin ele-1: All FHIR elements must have a @value or children
entry:embalmed	C	0..1	Reference(Observation - Embalmed)	Was body embalmed? ele-1: All FHIR elements must have a @value or children
entry:communicable-disease	C	0..1	Reference(Observation - Communicable Disease)	Did Decedent have a communicable disease? ele-1: All FHIR elements must have a @value or children
entry:cause-of-death-certifier	C	0..1	Reference(Death Certifier)	Death Certificate certifier, often attending physician ele-1: All FHIR elements must have a @value or children
entry:funeral-home	C	0..1	Reference(Funeral Home)	Funeral home ele-1: All FHIR elements must have a @value or children
entry:mortician	C	0..1	Reference(Mortician)	Mortician ele-1: All FHIR elements must have a @value or children
entry:crematorium	C	0..1	Reference(Organization - Crematorium)	Crematorium 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	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DecedentDemographics.code	example	Pattern: DecedentDemographics http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DeathInvestigation.code	example	Pattern: DeathInvestigation http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DeathCertification.code	example	Pattern: DeathCertification http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DecedentDisposition.code	example	Pattern: DecedentDisposition http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:Death-Certificate-data-review.code	example	Pattern: Death-Certificate-data-review http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:cremation-clearance-info.code	example	Pattern: cremation-clearance-info 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		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 EDRS 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)
extension-death-certificate-status		0..*	(Complex)	Death Certificate workflow status URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
extension-cremation-clearance-status		0..1	CodeableConcept	Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status Binding: ValueSet - Cremation Clearance Status example (example)
extension-me-certification-affirmation		0..1	CodeableConcept	Indicates whether the Medical Examiner certification has been affirmed or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation Binding: ValueSet - Medical Examiner Certification Affirmation example (example)
extension-cremation-clearance-coroner		0..1	CodeableConcept	Indicates whether the Cremation Clearance is a Coroner workflow or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
extension-cremation-clearance-signature		0..1	CodeableConcept	Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature Binding: ValueSet - Cremation Clearance Status example (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(Decedent)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
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		0..*	BackboneElement	Attests to accuracy of composition
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		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	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	C	0..*	BackboneElement	Composition is broken into sections 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:DecedentDemographics	C	0..1	BackboneElement	DecedentDemographics section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDemographics
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	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Decedent	C	1..1	Reference(Decedent)	Decedent
entry:Father	C	0..1	Reference(Decedent Father)	DecedentFather
entry:Mother	C	0..1	Reference(Decedent Mother)	DecedentMother
entry:Spouse	C	0..1	Reference(Decedent Spouse)	DecedentSpouse
entry:Age	C	0..1	Reference(Decedent Age)	DecedentAge
entry:BirthRecordID	C	0..1	Reference(Birth Record Identifier Infant)	BirthRecordIdentifier
entry:FetalDeathRecordID	C	0..1	Reference(Fetal Death Record Identifier)	FetalDeathRecordIdentifier
entry:BirthRecordIDChild	C	0..1	Reference(Birth Record Identifier Child)	BirthRecordIdentifierChild
entry:EducationLevel	C	0..1	Reference(Decedent Education Level)	DecedentEducationLevel
entry:MilitaryService	C	0..1	Reference(Decedent Military Service)	DecedentMilitaryService
entry:UsualWork	C	0..1	Reference(Decedent Usual Work)	DecedentUsualWork
entry:EmergingIssues	C	0..1	Reference(Observation - Emerging Issues Vital Records)	EmergingIssues
entry:InputRaceAndEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	InputRaceAndEthnicity
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:DeathInvestigation	C	0..1	BackboneElement	DeathInvestigation section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathInvestigation
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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ExaminerContacted	C	0..1	Reference(Examiner Contacted)	ExaminerContacted
entry:PregnancyStatus	C	0..1	Reference(Decedent Pregnancy)	DecedentPregnancyStatus
entry:TobaccoUse	C	0..1	Reference(Tobacco Use Contributed To Death)	TobaccoUse
entry:DeathLocation	C	0..1	Reference(Death Location)	Death Location
entry:InjuryLocation	C	0..1	Reference(Injury Location)	Injury Location
entry:InjuryIncident	C	0..1	Reference(Injury Incident)	InjuryIncident
entry:Autopsy	C	0..1	Reference(Autopsy Performed Indicator)	AutopsyPerformedIndicator
entry:DeathDate	C	0..1	Reference(Death Date)	DeathDate
entry:SurgeryDate	C	0..1	Reference(Surgery Date)	SurgeryDate
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:DeathCertification	C	0..1	BackboneElement	DeathCertification section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathCertification
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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Certifier	C	0..1	Reference(Practitioner - Vital Records)	Certifier
entry:DeathCertification	C	0..1	Reference(Death Certification Procedure)	DeathCertification
entry:MannerOfDeath	C	0..1	Reference(Manner of Death)	MannerOfDeath
entry:CauseOfDeathPart1	C	0..4	Reference(Cause Of Death Part 1)	CauseOfDeathPart1
entry:CauseOfDeathPart2	C	0..1	Reference(Cause of Death Part 2)	CauseOfDeathPart2
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:DecedentDisposition	C	0..1	BackboneElement	DecedentDisposition section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDisposition
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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:DispositionLocation	C	0..1	Reference(Disposition Location)	DispositionLocation
entry:FuneralHome	C	0..1	Reference(Funeral Home)	FuneralHome
entry:DispositionMethod	C	0..1	Reference(Decedent Disposition Method)	DispositionMethod
entry:Mortician	C	0..1	Reference(Mortician)	Mortician
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:Death-Certificate-data-review	C	0..1	BackboneElement	Death Certificate Data Review Results Section 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: Death-Certificate-data-review
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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:med-info-quality-review	C	0..1	Reference(Observation - Medical Information Data Quality)	Medical information data quality review status
entry:personal-info-quality-review	C	0..1	Reference(Observation - Personal Information Data Quality)	Personal information data quality review status
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:cremation-clearance-info	C	0..1	BackboneElement	Cremation Clearance 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		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: cremation-clearance-info
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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:authorizing-agent	C	0..1	Reference(US Core RelatedPerson Profile)	Individual authorizing cremation, often next-of-kin
entry:embalmed	C	0..1	Reference(Observation - Embalmed)	Was body embalmed?
entry:communicable-disease	C	0..1	Reference(Observation - Communicable Disease)	Did Decedent have a communicable disease?
entry:cause-of-death-certifier	C	0..1	Reference(Death Certifier)	Death Certificate certifier, often attending physician
entry:funeral-home	C	0..1	Reference(Funeral Home)	Funeral home
entry:mortician	C	0..1	Reference(Mortician)	Mortician
entry:crematorium	C	0..1	Reference(Organization - Crematorium)	Crematorium
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	FHIRDocumentTypeCodes 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:DecedentDemographics.code	example	Pattern: DecedentDemographics http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DecedentDemographics.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:DecedentDemographics.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:DecedentDemographics.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:DeathInvestigation.code	example	Pattern: DeathInvestigation http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DeathInvestigation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:DeathInvestigation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:DeathInvestigation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:DeathCertification.code	example	Pattern: DeathCertification http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DeathCertification.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:DeathCertification.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:DeathCertification.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:DecedentDisposition.code	example	Pattern: DecedentDisposition http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DecedentDisposition.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:DecedentDisposition.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:DecedentDisposition.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Death-Certificate-data-review.code	example	Pattern: Death-Certificate-data-review http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:Death-Certificate-data-review.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:Death-Certificate-data-review.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Death-Certificate-data-review.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:cremation-clearance-info.code	example	Pattern: cremation-clearance-info http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:cremation-clearance-info.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:cremation-clearance-info.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:cremation-clearance-info.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 1 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Decedent (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent)
• Decedent Father (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father)
• Decedent Mother (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother)
• Decedent Spouse (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse)
• Decedent Age (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age)
• Birth Record Identifier Infant (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier)
• Fetal Death Record Identifier (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-fetal-death-record-identifier)
• Birth Record Identifier Child (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier-child)
• Decedent Education Level (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level)
• Decedent Military Service (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service)
• Decedent Usual Work (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work)
• Observation - Emerging Issues Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr)
• Observation - Input Race and Ethnicity Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr)
• Examiner Contacted (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted)
• Decedent Pregnancy (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status)
• Tobacco Use Contributed To Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death)
• Death Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location)
• Injury Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location)
• Injury Incident (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident)
• Autopsy Performed Indicator (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator)
• Death Date (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date)
• Surgery Date (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date)
• Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
• Death Certification Procedure (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification)
• Manner of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death)
• Cause Of Death Part 1 (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1)
• Cause of Death Part 2 (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2)
• Disposition Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location)
• Funeral Home (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home)
• Decedent Disposition Method (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method)
• Mortician (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician)
• Observation - Medical Information Data Quality (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-medical-information-data-quality)
• Observation - Personal Information Data Quality (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-personal-information-data-quality)
• US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)
• Observation - Embalmed (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-embalmed)
• Observation - Communicable Disease (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-communicable-disease)
• Death Certifier (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier)
• Organization - Crematorium (http://hl7.org/fhir/us/mdi/StructureDefinition/Organization-crematorium)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status
• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation
• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature

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		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 EDRS 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)
extension-death-certificate-status		0..*	(Complex)	Death Certificate workflow status URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
extension-cremation-clearance-status		0..1	CodeableConcept	Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status Binding: ValueSet - Cremation Clearance Status example (example)
extension-me-certification-affirmation		0..1	CodeableConcept	Indicates whether the Medical Examiner certification has been affirmed or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation Binding: ValueSet - Medical Examiner Certification Affirmation example (example)
extension-cremation-clearance-coroner		0..1	CodeableConcept	Indicates whether the Cremation Clearance is a Coroner workflow or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
extension-cremation-clearance-signature		0..1	CodeableConcept	Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature Binding: ValueSet - Cremation Clearance Status example (example)
subject		1..1	Reference(Decedent)	Who and/or what the composition is about
Slices for section		0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
code		1..1	CodeableConcept	Classification of section (recommended)
section:DecedentDemographics		0..1	BackboneElement	DecedentDemographics section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDemographics
Slices for entry		1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Decedent		1..1	Reference(Decedent)	Decedent
entry:Father		0..1	Reference(Decedent Father)	DecedentFather
entry:Mother		0..1	Reference(Decedent Mother)	DecedentMother
entry:Spouse		0..1	Reference(Decedent Spouse)	DecedentSpouse
entry:Age		0..1	Reference(Decedent Age)	DecedentAge
entry:BirthRecordID		0..1	Reference(Birth Record Identifier Infant)	BirthRecordIdentifier
entry:FetalDeathRecordID		0..1	Reference(Fetal Death Record Identifier)	FetalDeathRecordIdentifier
entry:BirthRecordIDChild		0..1	Reference(Birth Record Identifier Child)	BirthRecordIdentifierChild
entry:EducationLevel		0..1	Reference(Decedent Education Level)	DecedentEducationLevel
entry:MilitaryService		0..1	Reference(Decedent Military Service)	DecedentMilitaryService
entry:UsualWork		0..1	Reference(Decedent Usual Work)	DecedentUsualWork
entry:EmergingIssues		0..1	Reference(Observation - Emerging Issues Vital Records)	EmergingIssues
entry:InputRaceAndEthnicity		0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	InputRaceAndEthnicity
section:DeathInvestigation		0..1	BackboneElement	DeathInvestigation section from VRDR Death Certificate Composition for review
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathInvestigation
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ExaminerContacted		0..1	Reference(Examiner Contacted)	ExaminerContacted
entry:PregnancyStatus		0..1	Reference(Decedent Pregnancy)	DecedentPregnancyStatus
entry:TobaccoUse		0..1	Reference(Tobacco Use Contributed To Death)	TobaccoUse
entry:DeathLocation		0..1	Reference(Death Location)	Death Location
entry:InjuryLocation		0..1	Reference(Injury Location)	Injury Location
entry:InjuryIncident		0..1	Reference(Injury Incident)	InjuryIncident
entry:Autopsy		0..1	Reference(Autopsy Performed Indicator)	AutopsyPerformedIndicator
entry:DeathDate		0..1	Reference(Death Date)	DeathDate
entry:SurgeryDate		0..1	Reference(Surgery Date)	SurgeryDate
section:DeathCertification		0..1	BackboneElement	DeathCertification section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathCertification
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Certifier		0..1	Reference(Practitioner - Vital Records)	Certifier
entry:DeathCertification		0..1	Reference(Death Certification Procedure)	DeathCertification
entry:MannerOfDeath		0..1	Reference(Manner of Death)	MannerOfDeath
entry:CauseOfDeathPart1		0..4	Reference(Cause Of Death Part 1)	CauseOfDeathPart1
entry:CauseOfDeathPart2		0..1	Reference(Cause of Death Part 2)	CauseOfDeathPart2
section:DecedentDisposition		0..1	BackboneElement	DecedentDisposition section from VRDR Death Certificate Composition for review
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDisposition
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:DispositionLocation		0..1	Reference(Disposition Location)	DispositionLocation
entry:FuneralHome		0..1	Reference(Funeral Home)	FuneralHome
entry:DispositionMethod		0..1	Reference(Decedent Disposition Method)	DispositionMethod
entry:Mortician		0..1	Reference(Mortician)	Mortician
section:Death-Certificate-data-review		0..1	BackboneElement	Death Certificate Data Review Results Section
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: Death-Certificate-data-review
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:med-info-quality-review		0..1	Reference(Observation - Medical Information Data Quality)	Medical information data quality review status
entry:personal-info-quality-review		0..1	Reference(Observation - Personal Information Data Quality)	Personal information data quality review status
section:cremation-clearance-info		0..1	BackboneElement	Cremation Clearance information
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cremation-clearance-info
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:authorizing-agent		0..1	Reference(US Core RelatedPerson Profile)	Individual authorizing cremation, often next-of-kin
entry:embalmed		0..1	Reference(Observation - Embalmed)	Was body embalmed?
entry:communicable-disease		0..1	Reference(Observation - Communicable Disease)	Did Decedent have a communicable disease?
entry:cause-of-death-certifier		0..1	Reference(Death Certifier)	Death Certificate certifier, often attending physician
entry:funeral-home		0..1	Reference(Funeral Home)	Funeral home
entry:mortician		0..1	Reference(Mortician)	Mortician
entry:crematorium		0..1	Reference(Organization - Crematorium)	Crematorium
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		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 EDRS 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
extension-death-certificate-status		0..*	(Complex)	Death Certificate workflow status URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension-cremation-clearance-status		0..1	CodeableConcept	Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status Binding: ValueSet - Cremation Clearance Status example (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension-me-certification-affirmation		0..1	CodeableConcept	Indicates whether the Medical Examiner certification has been affirmed or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation Binding: ValueSet - Medical Examiner Certification Affirmation example (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension-cremation-clearance-coroner		0..1	CodeableConcept	Indicates whether the Cremation Clearance is a Coroner workflow or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension-cremation-clearance-signature		0..1	CodeableConcept	Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature Binding: ValueSet - Cremation Clearance Status example (example) 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	?!Σ	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	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Decedent)	Who and/or what the composition is about 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	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition 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
Slices for section	C	0..*	BackboneElement	Composition is broken into sections 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:DecedentDemographics	C	0..1	BackboneElement	DecedentDemographics section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDemographics
Slices for entry	C	1..*	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:Decedent	C	1..1	Reference(Decedent)	Decedent ele-1: All FHIR elements must have a @value or children
entry:Father	C	0..1	Reference(Decedent Father)	DecedentFather ele-1: All FHIR elements must have a @value or children
entry:Mother	C	0..1	Reference(Decedent Mother)	DecedentMother ele-1: All FHIR elements must have a @value or children
entry:Spouse	C	0..1	Reference(Decedent Spouse)	DecedentSpouse ele-1: All FHIR elements must have a @value or children
entry:Age	C	0..1	Reference(Decedent Age)	DecedentAge ele-1: All FHIR elements must have a @value or children
entry:BirthRecordID	C	0..1	Reference(Birth Record Identifier Infant)	BirthRecordIdentifier ele-1: All FHIR elements must have a @value or children
entry:FetalDeathRecordID	C	0..1	Reference(Fetal Death Record Identifier)	FetalDeathRecordIdentifier ele-1: All FHIR elements must have a @value or children
entry:BirthRecordIDChild	C	0..1	Reference(Birth Record Identifier Child)	BirthRecordIdentifierChild ele-1: All FHIR elements must have a @value or children
entry:EducationLevel	C	0..1	Reference(Decedent Education Level)	DecedentEducationLevel ele-1: All FHIR elements must have a @value or children
entry:MilitaryService	C	0..1	Reference(Decedent Military Service)	DecedentMilitaryService ele-1: All FHIR elements must have a @value or children
entry:UsualWork	C	0..1	Reference(Decedent Usual Work)	DecedentUsualWork ele-1: All FHIR elements must have a @value or children
entry:EmergingIssues	C	0..1	Reference(Observation - Emerging Issues Vital Records)	EmergingIssues ele-1: All FHIR elements must have a @value or children
entry:InputRaceAndEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	InputRaceAndEthnicity ele-1: All FHIR elements must have a @value or children
section:DeathInvestigation	C	0..1	BackboneElement	DeathInvestigation section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathInvestigation
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:ExaminerContacted	C	0..1	Reference(Examiner Contacted)	ExaminerContacted ele-1: All FHIR elements must have a @value or children
entry:PregnancyStatus	C	0..1	Reference(Decedent Pregnancy)	DecedentPregnancyStatus ele-1: All FHIR elements must have a @value or children
entry:TobaccoUse	C	0..1	Reference(Tobacco Use Contributed To Death)	TobaccoUse ele-1: All FHIR elements must have a @value or children
entry:DeathLocation	C	0..1	Reference(Death Location)	Death Location ele-1: All FHIR elements must have a @value or children
entry:InjuryLocation	C	0..1	Reference(Injury Location)	Injury Location ele-1: All FHIR elements must have a @value or children
entry:InjuryIncident	C	0..1	Reference(Injury Incident)	InjuryIncident ele-1: All FHIR elements must have a @value or children
entry:Autopsy	C	0..1	Reference(Autopsy Performed Indicator)	AutopsyPerformedIndicator ele-1: All FHIR elements must have a @value or children
entry:DeathDate	C	0..1	Reference(Death Date)	DeathDate ele-1: All FHIR elements must have a @value or children
entry:SurgeryDate	C	0..1	Reference(Surgery Date)	SurgeryDate ele-1: All FHIR elements must have a @value or children
section:DeathCertification	C	0..1	BackboneElement	DeathCertification section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathCertification
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:Certifier	C	0..1	Reference(Practitioner - Vital Records)	Certifier ele-1: All FHIR elements must have a @value or children
entry:DeathCertification	C	0..1	Reference(Death Certification Procedure)	DeathCertification ele-1: All FHIR elements must have a @value or children
entry:MannerOfDeath	C	0..1	Reference(Manner of Death)	MannerOfDeath ele-1: All FHIR elements must have a @value or children
entry:CauseOfDeathPart1	C	0..4	Reference(Cause Of Death Part 1)	CauseOfDeathPart1 ele-1: All FHIR elements must have a @value or children
entry:CauseOfDeathPart2	C	0..1	Reference(Cause of Death Part 2)	CauseOfDeathPart2 ele-1: All FHIR elements must have a @value or children
section:DecedentDisposition	C	0..1	BackboneElement	DecedentDisposition section from VRDR Death Certificate Composition for review cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDisposition
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:DispositionLocation	C	0..1	Reference(Disposition Location)	DispositionLocation ele-1: All FHIR elements must have a @value or children
entry:FuneralHome	C	0..1	Reference(Funeral Home)	FuneralHome ele-1: All FHIR elements must have a @value or children
entry:DispositionMethod	C	0..1	Reference(Decedent Disposition Method)	DispositionMethod ele-1: All FHIR elements must have a @value or children
entry:Mortician	C	0..1	Reference(Mortician)	Mortician ele-1: All FHIR elements must have a @value or children
section:Death-Certificate-data-review	C	0..1	BackboneElement	Death Certificate Data Review Results Section 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: Death-Certificate-data-review
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:med-info-quality-review	C	0..1	Reference(Observation - Medical Information Data Quality)	Medical information data quality review status ele-1: All FHIR elements must have a @value or children
entry:personal-info-quality-review	C	0..1	Reference(Observation - Personal Information Data Quality)	Personal information data quality review status ele-1: All FHIR elements must have a @value or children
section:cremation-clearance-info	C	0..1	BackboneElement	Cremation Clearance information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cremation-clearance-info
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
entry:authorizing-agent	C	0..1	Reference(US Core RelatedPerson Profile)	Individual authorizing cremation, often next-of-kin ele-1: All FHIR elements must have a @value or children
entry:embalmed	C	0..1	Reference(Observation - Embalmed)	Was body embalmed? ele-1: All FHIR elements must have a @value or children
entry:communicable-disease	C	0..1	Reference(Observation - Communicable Disease)	Did Decedent have a communicable disease? ele-1: All FHIR elements must have a @value or children
entry:cause-of-death-certifier	C	0..1	Reference(Death Certifier)	Death Certificate certifier, often attending physician ele-1: All FHIR elements must have a @value or children
entry:funeral-home	C	0..1	Reference(Funeral Home)	Funeral home ele-1: All FHIR elements must have a @value or children
entry:mortician	C	0..1	Reference(Mortician)	Mortician ele-1: All FHIR elements must have a @value or children
entry:crematorium	C	0..1	Reference(Organization - Crematorium)	Crematorium 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	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DecedentDemographics.code	example	Pattern: DecedentDemographics http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DeathInvestigation.code	example	Pattern: DeathInvestigation http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DeathCertification.code	example	Pattern: DeathCertification http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DecedentDisposition.code	example	Pattern: DecedentDisposition http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:Death-Certificate-data-review.code	example	Pattern: Death-Certificate-data-review http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:cremation-clearance-info.code	example	Pattern: cremation-clearance-info 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		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 EDRS 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)
extension-death-certificate-status		0..*	(Complex)	Death Certificate workflow status URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
extension-cremation-clearance-status		0..1	CodeableConcept	Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status Binding: ValueSet - Cremation Clearance Status example (example)
extension-me-certification-affirmation		0..1	CodeableConcept	Indicates whether the Medical Examiner certification has been affirmed or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation Binding: ValueSet - Medical Examiner Certification Affirmation example (example)
extension-cremation-clearance-coroner		0..1	CodeableConcept	Indicates whether the Cremation Clearance is a Coroner workflow or not URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
extension-cremation-clearance-signature		0..1	CodeableConcept	Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature Binding: ValueSet - Cremation Clearance Status example (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(Decedent)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
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		0..*	BackboneElement	Attests to accuracy of composition
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		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	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	C	0..*	BackboneElement	Composition is broken into sections 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:DecedentDemographics	C	0..1	BackboneElement	DecedentDemographics section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDemographics
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	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Decedent	C	1..1	Reference(Decedent)	Decedent
entry:Father	C	0..1	Reference(Decedent Father)	DecedentFather
entry:Mother	C	0..1	Reference(Decedent Mother)	DecedentMother
entry:Spouse	C	0..1	Reference(Decedent Spouse)	DecedentSpouse
entry:Age	C	0..1	Reference(Decedent Age)	DecedentAge
entry:BirthRecordID	C	0..1	Reference(Birth Record Identifier Infant)	BirthRecordIdentifier
entry:FetalDeathRecordID	C	0..1	Reference(Fetal Death Record Identifier)	FetalDeathRecordIdentifier
entry:BirthRecordIDChild	C	0..1	Reference(Birth Record Identifier Child)	BirthRecordIdentifierChild
entry:EducationLevel	C	0..1	Reference(Decedent Education Level)	DecedentEducationLevel
entry:MilitaryService	C	0..1	Reference(Decedent Military Service)	DecedentMilitaryService
entry:UsualWork	C	0..1	Reference(Decedent Usual Work)	DecedentUsualWork
entry:EmergingIssues	C	0..1	Reference(Observation - Emerging Issues Vital Records)	EmergingIssues
entry:InputRaceAndEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	InputRaceAndEthnicity
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:DeathInvestigation	C	0..1	BackboneElement	DeathInvestigation section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathInvestigation
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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ExaminerContacted	C	0..1	Reference(Examiner Contacted)	ExaminerContacted
entry:PregnancyStatus	C	0..1	Reference(Decedent Pregnancy)	DecedentPregnancyStatus
entry:TobaccoUse	C	0..1	Reference(Tobacco Use Contributed To Death)	TobaccoUse
entry:DeathLocation	C	0..1	Reference(Death Location)	Death Location
entry:InjuryLocation	C	0..1	Reference(Injury Location)	Injury Location
entry:InjuryIncident	C	0..1	Reference(Injury Incident)	InjuryIncident
entry:Autopsy	C	0..1	Reference(Autopsy Performed Indicator)	AutopsyPerformedIndicator
entry:DeathDate	C	0..1	Reference(Death Date)	DeathDate
entry:SurgeryDate	C	0..1	Reference(Surgery Date)	SurgeryDate
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:DeathCertification	C	0..1	BackboneElement	DeathCertification section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DeathCertification
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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Certifier	C	0..1	Reference(Practitioner - Vital Records)	Certifier
entry:DeathCertification	C	0..1	Reference(Death Certification Procedure)	DeathCertification
entry:MannerOfDeath	C	0..1	Reference(Manner of Death)	MannerOfDeath
entry:CauseOfDeathPart1	C	0..4	Reference(Cause Of Death Part 1)	CauseOfDeathPart1
entry:CauseOfDeathPart2	C	0..1	Reference(Cause of Death Part 2)	CauseOfDeathPart2
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:DecedentDisposition	C	0..1	BackboneElement	DecedentDisposition section from VRDR Death Certificate Composition for review 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/vrdr/CodeSystem/vrdr-document-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DecedentDisposition
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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:DispositionLocation	C	0..1	Reference(Disposition Location)	DispositionLocation
entry:FuneralHome	C	0..1	Reference(Funeral Home)	FuneralHome
entry:DispositionMethod	C	0..1	Reference(Decedent Disposition Method)	DispositionMethod
entry:Mortician	C	0..1	Reference(Mortician)	Mortician
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:Death-Certificate-data-review	C	0..1	BackboneElement	Death Certificate Data Review Results Section 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: Death-Certificate-data-review
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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:med-info-quality-review	C	0..1	Reference(Observation - Medical Information Data Quality)	Medical information data quality review status
entry:personal-info-quality-review	C	0..1	Reference(Observation - Personal Information Data Quality)	Personal information data quality review status
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:cremation-clearance-info	C	0..1	BackboneElement	Cremation Clearance 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		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: cremation-clearance-info
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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:authorizing-agent	C	0..1	Reference(US Core RelatedPerson Profile)	Individual authorizing cremation, often next-of-kin
entry:embalmed	C	0..1	Reference(Observation - Embalmed)	Was body embalmed?
entry:communicable-disease	C	0..1	Reference(Observation - Communicable Disease)	Did Decedent have a communicable disease?
entry:cause-of-death-certifier	C	0..1	Reference(Death Certifier)	Death Certificate certifier, often attending physician
entry:funeral-home	C	0..1	Reference(Funeral Home)	Funeral home
entry:mortician	C	0..1	Reference(Mortician)	Mortician
entry:crematorium	C	0..1	Reference(Organization - Crematorium)	Crematorium
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	FHIRDocumentTypeCodes 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:DecedentDemographics.code	example	Pattern: DecedentDemographics http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DecedentDemographics.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:DecedentDemographics.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:DecedentDemographics.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:DeathInvestigation.code	example	Pattern: DeathInvestigation http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DeathInvestigation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:DeathInvestigation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:DeathInvestigation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:DeathCertification.code	example	Pattern: DeathCertification http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DeathCertification.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:DeathCertification.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:DeathCertification.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:DecedentDisposition.code	example	Pattern: DecedentDisposition http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DecedentDisposition.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:DecedentDisposition.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:DecedentDisposition.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Death-Certificate-data-review.code	example	Pattern: Death-Certificate-data-review http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:Death-Certificate-data-review.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:Death-Certificate-data-review.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Death-Certificate-data-review.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:cremation-clearance-info.code	example	Pattern: cremation-clearance-info http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:cremation-clearance-info.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:cremation-clearance-info.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:cremation-clearance-info.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 1 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Decedent (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent)
• Decedent Father (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father)
• Decedent Mother (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother)
• Decedent Spouse (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse)
• Decedent Age (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age)
• Birth Record Identifier Infant (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier)
• Fetal Death Record Identifier (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-fetal-death-record-identifier)
• Birth Record Identifier Child (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier-child)
• Decedent Education Level (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level)
• Decedent Military Service (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service)
• Decedent Usual Work (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work)
• Observation - Emerging Issues Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr)
• Observation - Input Race and Ethnicity Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr)
• Examiner Contacted (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted)
• Decedent Pregnancy (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status)
• Tobacco Use Contributed To Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death)
• Death Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location)
• Injury Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location)
• Injury Incident (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident)
• Autopsy Performed Indicator (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator)
• Death Date (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date)
• Surgery Date (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date)
• Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
• Death Certification Procedure (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification)
• Manner of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death)
• Cause Of Death Part 1 (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1)
• Cause of Death Part 2 (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2)
• Disposition Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location)
• Funeral Home (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home)
• Decedent Disposition Method (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method)
• Mortician (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician)
• Observation - Medical Information Data Quality (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-medical-information-data-quality)
• Observation - Personal Information Data Quality (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-personal-information-data-quality)
• US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)
• Observation - Embalmed (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-embalmed)
• Observation - Communicable Disease (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-communicable-disease)
• Death Certifier (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier)
• Organization - Crematorium (http://hl7.org/fhir/us/mdi/StructureDefinition/Organization-crematorium)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status
• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation
• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
• http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature

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