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 
Manner of Death
Manner of Death is a profile of the FHIR STU3 Observation resource. It is used to convey information regarding the manner of death as determined by the death Certifier.
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
MAY contain zero or one [0..1] id (CONF:4393-338).
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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:4393-337).
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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-Manner-of-Death" (CONF:4393-339).
Pattern
http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Manner-of-Death
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status
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1..1
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codeFixed Value
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Short description status
Definition
SHALL contain exactly one [1..1] status=""final"" (CONF:4393-342).
Data Type code
Fixed Value
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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=" "69449-7"" (CONF:4393-340).
Data Type CodeableConcept
Fixed Value
{
"coding": [
{
"code": "69449-7"
}
]
}
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subject
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1..1
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Reference(Patient)
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Short description subject
Definition
SHALL contain exactly one [1..1] subject="VRDR Decedent" (CONF:4393-343).
Data Type Reference(Patient)
Pattern
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performer
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1..1
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Reference(Practitioner)
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Short description performer
Definition
SHALL contain exactly one [1..1] performer="VRDR Certifier" (CONF:4393-341).
Data Type Reference(Practitioner)
Pattern
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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:4393-344)
Sliced: Unordered, Open, by $this(Type)
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valueCodeableConcept
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Short description valueCodeableConcept
Definition
valueCodeableConcept, which SHALL be selected from ValueSet DispositionTypeVS http://www.hl7.org/fhir/ValueSet/DispositionTypeVS DYNAMIC (CONF:4393-345)
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Element Bindings
| Element Name |
Binding Type |
Binding Value |
Fixed Value Code System |
| code |
Fixed Value |
"69449-7" |
LOINC |
| performer |
Reference |
VRDR Certifier |
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| status |
Fixed Value |
"final" |
observation-status |
| subject |
Reference |
VRDR Decedent |
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| valueCodeableConcept |
Value Set |
DispositionTypeVS |
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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(Patient)
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1..1 |
| Observation.performer
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Reference(Practitioner)
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1..1 |
| Observation.value[x]
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1..1 |
| Observation.valueCodeableConcept:valueCodeableConcept
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.. |
Requirements Traceability Mappings
| Element Path |
Reference |
Location |
Data Item |
| valueCodeableConcept |
Vital Records DAM |
2.1.01 Death Event |
deathMeans |
| valueCodeableConcept |
Death Certificate |
Item 37 |
Manner of Death |
| valueCodeableConcept |
Standard Death Record IG |
SDR MannerOfDeath Profile |
Observation.valueCodeableConcept |
Instance Example
<Observation>
<id value="manner-of-death-example" />
<meta>
<profile value="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Manner-of-Death" />
</meta>
<status value="final" />
<code>
<coding>
<system value="http://loinc.org" />
<code value="69449-7" />
<display value="Manner of death" />
</coding>
</code>
<subject>
<reference value="example-decedent" />
</subject>
<performer>
<reference value="example-practitioner" />
</performer>
<valueCodeableConcept>
<coding>
<system value="http://www.hl7.org/fhir/stu3/valueset-MannerTypeVS" />
<code value="7878000" />
<display value="Accident" />
</coding>
</valueCodeableConcept>
</Observation>
