This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Cause Of Death Condition

Cause Of Death Condition is a profile of the FHIR STU3 Condition resource. It is used to convey a condition (disease, injury, or complication) contributing to the cause of death. A cause of death is one in an ordered list of caused in a cause of death pathway. The cause of death is initially conveyed as a free text description and sent to the NCHS to be encoded. The final death certificate includes the NCHS assigned code as well as the original free text description. The cause of death condition also includes a timing expression used to convey the interval of time between onset of the condition and death.


UML Expression


Structure Definition

id 0..1
profile 1..1
code 1..1 CodeableConceptBinding
subject 1..1 Reference(Patient | Group)
onset[x] 1..1
onsetAge
onsetString
asserter 1..1 Reference(Practitioner | Patient | RelatedPerson)

Element Bindings

Element Name Binding Type Binding Value Fixed Value Code System
asserter Reference VRDR Certifier
code.code Value Set Condition-code
subject Reference VRDR Decedent

Element Table

Condition ..
Condition.id 0..1
Condition.meta 0..1
Condition.meta.profile 1..1
Condition.code CodeableConcept 1..1
Condition.subject Reference(Patient | Group) 1..1
Condition.onset[x] 1..1
Condition.onsetAge:onsetAge ..
Condition.onsetString:onsetString ..
Condition.asserter Reference(Practitioner | Patient | RelatedPerson) 1..1


Requirements Traceability Mappings

Element Path Reference Location Data Item
code.code Vital Records DAM 2.1.02 Cause of Death causeDescription
code.code Death Certificate Item 32Ia Cause of Death
code.code Standard Death Record IG SDR CauseOfDeathCondition Profile Condition.code
code.text Vital Records DAM 2.1.02 Cause of Death causeDescription
code.text Death Certificate Item 32Ia Cause of Death
code.text Standard Death Record IG SDR CauseOfDeathCondition Profile Condition.code
onsetQuantity Vital Records DAM 2.1.02 Cause of Death preDeathTimeInterval
onsetQuantity Death Certificate Item 32Ib Interval onset to death
onsetQuantity Standard Death Record IG SDR CauseOfDeathCondition Profile Condition.onset[x]

Instance Example

<Condition>
  <id value="example-cause-of-death-condition" />
  <meta>
    <profile value="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/-VRDR-Cause-Of-Death-Condition" />
  </meta>
  <text>
    <status value="additional" />
    <div xmlns="http://www.w3.org/1999/xhtml">Acute transmural myocardial infarction of anterior wall</div>
  </text>
  <code>
    <coding>
      <system value="ICD-10" />
      <code value="I21.0" />
      <display value="Acute transmural myocardial infarction of anterior wall" />
    </coding>
  </code>
  <subject>
    <reference value="example-decedent" />
  </subject>
  <onsetString value="minutes" />
  <asserter>
    <reference value="example-practitioner" />
  </asserter>
</Condition>