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

id 0..1
profile 1..1
code 1..1 Binding
text 1..1
subject 1..1 Reference(Patient | Group)

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.code.coding 0..*
Condition.code.coding.code 1..1
Condition.code.text 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>