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

Decedent Employment History

Decedent Employment History is a profile of the FHIR STU3 Observation resource. It is used to convey information regarding usual occupation and industry of employment of the decedent as well as any history of military service. Employment history of the decedent is an optional demographic component of the decedent use for stratification and categorization of death events.


UML Expression


Structure Definition

id 0..1
profile 1..1
status 1..1 codeFixed Value
code 1..1 CodeableConceptFixed Value
subject 1..1 Reference(Patient | Group | Device | Location)
code 1..1 CodeableConceptFixed Value
value[x] 1..1
valueCodeableConcept Binding
code 1..1 CodeableConceptFixed Value
value[x] 1..1
valueCodeableConcept Binding
code 1..1 CodeableConceptFixed Value
value[x] 1..1
valueCodeableConcept Binding

Element Bindings

Element Name Binding Type Binding Value Fixed Value Code System
code Fixed Value "74165-2" LOINC
component.Military Service.code Fixed Value "55280-2" LOINC
component.Military Service.valueCodeableConcept Value Set v2-0532
component.Usual Industry.code Fixed Value "21844-6" LOINC
component.Usual Industry.valueCodeableConcept Value Set Industry-cdc-census-2010
component.Usual Occupation.code Fixed Value "21847-9" LOINC
component.Usual Occupation.valueCodeableConcept Value Set Usual-occupation
status Fixed Value "final" observation-status
subject Reference VRDR Decedent

Element Table

Observation ..
Observation.id 0..1
Observation.meta 0..1
Observation.meta.profile 1..1
Observation.status code 1..1
Observation.code CodeableConcept 1..1
Observation.subject Reference(Patient | Group | Device | Location) 1..1
Observation.component 1..1
Observation.component.code CodeableConcept 1..1
Observation.component.value[x] 1..1
Observation.component.valueCodeableConcept:valueCodeableConcept ..
Observation.component 1..1
Observation.component.code CodeableConcept 1..1
Observation.component.value[x] 1..1
Observation.component.valueCodeableConcept:valueCodeableConcept ..
Observation.component 1..1
Observation.component.code CodeableConcept 1..1
Observation.component.value[x] 1..1
Observation.component.valueCodeableConcept:valueCodeableConcept ..


Requirements Traceability Mappings

Element Path Reference Location Data Item
valueCodeableConcept Vital Records DAM 3.02 Decedent armedForcesIndicator
valueCodeableConcept Vital Records DAM 3.02 Decedent usualWorkIndustry
valueCodeableConcept Vital Records DAM 3.02 Decedent usualWorkOccupation
valueCodeableConcept Death Certificate Item 54 Decedent's Usual Occupation
valueCodeableConcept Death Certificate Item 55 Kind of Business/Industry
valueCodeableConcept Death Certificate Item 8 Ever in the Armed Forces?
valueCodeableConcept Standard Death Record IG SDR Decedent Profile Patient.extension:occupation[industry]
valueCodeableConcept Standard Death Record IG SDR Decedent Profile Patient.extension:occupation[job]
valueCodeableConcept Standard Death Record IG SDR Decedent Profile Patient.extension:servedinarmedforces

Instance Example

<Observation>
  <id value="example-decedent-employment-history" />
  <meta>
    <profile value=" http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent-Employment-History" />
  </meta>
  <status value="final" />
  <code>
    <coding>
      <system value="http://loinc.org" />
      <code value="74165-2" />
    </coding>
  </code>
  <subject>
    <reference value="example-decedent" />
  </subject>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org" />
        <code value="55280-2" />
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://www.hl7.org/fhir/ValueSet/v2-0532" />
        <code value="Y" />
      </coding>
      <text value="Yes" />
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org" />
        <code value="21844-6" />
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://www.hl7.org/fhir/ValueSet/industry-cdc-census-2010" />
        <code value="1320" />
      </coding>
      <text value="Aerospace engineers" />
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org" />
        <code value="21847-9" />
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://www.hl7.org/fhir/ValueSet/Usual-occupation" />
        <code value="7280" />
      </coding>
      <text value="Accounting, tax preparation, bookkeeping, and payroll services" />
    </valueCodeableConcept>
  </component>
</Observation>