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
Condition Contributing to Death
Condition Contributing to Death is a profile of the FHIR STU3 Condition resource. It is used to convey a significant condition or circumstance that contributed to the cause of death but did not result in the underlying cause nor participated in the causal pathway to the final or immediate cause of death. Like the causes of death, conditions contributing to death are initially conveyed as free text descriptions and sent to the NCHS to be encoded. Unlike a cause of death, conditions contributing to death do not include an onset nor are they sequenced in priority or chronological order.
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:4393-326).
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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:4393-325).
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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-Condition-Contributintg-To-Death" (CONF:4393-327).
Pattern
http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Condition-Contributintg-To-Death
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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:4393-332).
Data Type CodeableConcept
Binding Condition-code (required)
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coding
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0..*
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Short description coding
Definition
This code MAY contain zero or more [0..*] coding (CONF:4393-333).
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code
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1..1
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Binding |
Short description code
Definition
The coding, if present, SHALL contain exactly one [1..1] code (ValueSet: Condition-code http://www.hl7.org/fhir/ValueSet/Condition-code DYNAMIC) (CONF:4393-334).
Binding Condition-code (required)
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text
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1..1
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Short description text
Definition
This code SHALL contain exactly one [1..1] text (CONF:4393-335).
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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:4393-336).
Data Type Reference(Patient | Group)
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
Condition |
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.. |
Condition.id
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|
0..1 |
Condition.meta
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|
0..1 |
Condition.meta.profile
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|
1..1 |
Condition.code
|
CodeableConcept |
1..1 |
Condition.code.coding
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|
0..* |
Condition.code.coding.code
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1..1 |
Condition.code.text
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|
1..1 |
Condition.subject
|
Reference(Patient | Group)
|
1..1 |
Requirements Traceability Mappings
Element Path |
Reference |
Location |
Data Item |
code.code |
Vital Records DAM |
2.1.01 Death Event |
significantContributingCause |
code.code |
Death Certificate |
Item 32II |
Other Significant Conditions Contributing to Death |
code.code |
Standard Death Record IG |
SDR ContributedToDeathCondition Profile |
Condition.code |
code.text |
Vital Records DAM |
2.1.01 Death Event |
significantContributingCause |
code.text |
Death Certificate |
Item 32II |
Other Significant Conditions Contributing to Death |
code.text |
Standard Death Record IG |
SDR ContributedToDeathCondition Profile |
Condition.code |
Instance Example
<Condition>
<id value="example-condition-contributing-to-death" />
<meta>
<profile value="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Condition-Contributintg-To-Death" />
</meta>
<text>
<status value="additional" />
<div xmlns="http://www.w3.org/1999/xhtml">Example Contributing Conditions</div>
</text>
<subject>
<reference value="example-decedent" />
</subject>
</Condition>