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 
Examiner Contacted is a profile of the FHIR STU3 Observation
resource. It is used to convey an indication as to whether the medical examiner (or coroner) was contacted to conduct a death investigation. A medical examiner is typically contacted when the situation involving death is sudden and unexpected or when there is cause to believed that the cause of death was other than natural.
UML Expression
Structure Definition
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Observation
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Observation |
Data Type Observation
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id
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0..1
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Short description id
Definition
SHOULD contain zero or one [0..1] id (CONF:4393-112).
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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:4393-110).
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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-Examiner-Contacted" (CONF:4393-113).
Pattern
http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Examiner-Contacted
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status
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1..1
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code |
Short description status
Definition
SHALL contain exactly one [1..1] status="final" FINAL (CONF:4393-114).
Data Type code
Pattern
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code
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1..1
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CodeableConceptFixed Value
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Short description code
Definition
SHALL contain exactly one [1..1] code="74497-9" Medical examiner or coroner was contacted (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:4393-115).
Data Type CodeableConcept
Fixed Value
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.6.1",
"code": "74497-9",
"display": "Medical examiner or coroner was contacted"
}
]
}
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subject
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1..1
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Reference(VRDR Decedent)
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Short description subject
Definition
SHALL contain exactly one [1..1] subject="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent" (CONF:4393-116).
Data Type Reference(VRDR Decedent)
Pattern
http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent
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value[x]
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1..1
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Short description value[x]
Definition
SHALL contain exactly one [1..1] value[x], where value[x] is (CONF:4393-111)
Sliced: Unordered, Open, by $this(Type)
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valueBoolean
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Short description valueBoolean
Definition
valueBoolean (CONF:4393-117)
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Element Bindings
| Element Name |
Binding Type |
Binding Value |
Fixed Value Code System |
| code |
Fixed Value |
"74497-9" |
LOINC |
| status |
Fixed Value |
"final" |
observation-status |
| subject |
Reference |
VRDR Decedent |
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Element Table
| Observation |
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.. |
| Observation.id
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0..1 |
| Observation.meta
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0..1 |
| Observation.meta.profile
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1..1 |
| Observation.status
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code |
1..1 |
| Observation.code
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CodeableConcept |
1..1 |
| Observation.subject
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Reference(VRDR Decedent)
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1..1 |
| Observation.value[x]
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1..1 |
| Observation.valueBoolean:valueBoolean
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.. |
Requirements Traceability Mappings
| Element Path |
Reference |
Location |
Data Item |
| valueBoolean |
Vital Records DAM |
2.1.01 Death Event |
medicalExaminerReferralIndicator |
| valueBoolean |
Death Certificate |
Item 31 |
Was Medical Examiner or Coroner Contacted? |
| valueBoolean |
Standard Death Record IG |
SDR MedicalExaminerContacted Profile |
Observation.valueBoolean |
Instance Example
<Observation>
<id value="example-examiner-contacted" />
<meta>
<profile value="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Examiner-Contacted" />
</meta>
<status value="final" />
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.6.1" />
<code value="74497-9" />
<display value="Medical examiner or coroner was contacted" />
</coding>
</code>
<subject>
<reference value="example-decedent" />
</subject>
<valueBoolean value="true" />
</Observation>
