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
Condition
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Condition |
Data Type Condition
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id
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0..1
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Short description id
Definition
MAY contain zero or one [0..1] id (CONF:4393-251).
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meta
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0..1
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Short description meta
Definition
MAY contain zero or one [0..1] meta (CONF:4393-250).
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profile
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1..1
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Short description profile
Definition
The meta, if present, SHALL contain exactly one [1..1] profile="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/-VRDR-Cause-Of-Death-Condition" (CONF:4393-252).
Pattern
http://www.hl7.org/fhir/us/vrdr/StructureDefinition/-VRDR-Cause-Of-Death-Condition
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code
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1..1
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CodeableConceptBinding
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Short description code
Definition
SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Condition-code http://www.hl7.org/fhir/ValueSet/Condition-code DYNAMIC (CONF:4393-253).
Data Type CodeableConcept
Binding Condition-code (required)
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subject
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1..1
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Reference(Patient | Group)
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Short description subject
Definition
SHALL contain exactly one [1..1] subject=" VRDR Decedent" (CONF:4393-256).
Data Type Reference(Patient | Group)
Pattern
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onset[x]
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1..1
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Short description onset[x]
Definition
SHALL contain exactly one [1..1] onset[x], where onset[x] is one of (CONF:4393-328)
Sliced: Unordered, Open, by $this(Type)
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onsetAge
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Short description onsetAge
Definition
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onsetString
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Short description onsetString
Definition
or onsetString (CONF:4393-418)
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asserter
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1..1
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Reference(Practitioner | Patient | RelatedPerson)
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Short description asserter
Definition
SHALL contain exactly one [1..1] asserter=" VRDR Certifier" (CONF:4393-254).
Data Type Reference(Practitioner | Patient | RelatedPerson)
Pattern
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Element Bindings
Element Name |
Binding Type |
Binding Value |
Fixed Value Code System |
asserter |
Reference |
VRDR Certifier |
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code.code |
Value Set |
Condition-code |
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subject |
Reference |
VRDR Decedent |
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Element Table
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>