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 Pregnancy
Decedent Pregnancy is a profile of the FHIR STU3 Observation resource. It is used to convey information regarding pregnancy status of female decedents at the time of death and up to one year prior to death.
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:4393-292).
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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:4393-291).
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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-Decedent-Pregnancy" (CONF:4393-293).
Pattern
http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent-Pregnancy
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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:4393-295).
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=""69442-2"" (CONF:4393-294).
Data Type CodeableConcept
Fixed Value
{
"coding": [
{
"code": "\"69442-2\""
}
]
}
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subject
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1..1
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Reference(Patient | Group | Device | Location)
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Short description subject
Definition
SHALL contain exactly one [1..1] subject="VRDR Decedent" (CONF:4393-296).
Data Type Reference(Patient | Group | Device | Location)
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:4393-297)
Sliced: Unordered, Open, by $this(Type)
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valueCodeableConcept
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Binding |
Short description valueCodeableConcept
Definition
valueCodeableConcept, which SHALL be selected from ValueSet PregnancyStatusVS http://www.hl7.org/fhir/ValueSet/PregnancyStatusVS DYNAMIC (CONF:4393-298)
Binding PregnancyStatusVS (required)
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Element Bindings
| Element Name |
Binding Type |
Binding Value |
Fixed Value Code System |
| code |
Fixed Value |
"69442-2" |
LOINC |
| status |
Fixed Value |
"final" |
observation-status |
| subject |
Reference |
VRDR Decedent |
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| valueCodeableConcept |
Value Set |
PregnancyStatusVS |
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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 | Group | Device | Location)
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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 |
3.02 Decedent |
pregnancyStatus |
| valueCodeableConcept |
Death Certificate |
Item 36 |
Pregnancy - If Female |
| valueCodeableConcept |
Standard Death Record IG |
SDR TimingOfRecentPregnancyInRelationToDeath Profile |
Observation.valueCodeableConcept |
Instance Example
<Observation>
<id value="example-decedent-pregnancy" />
<meta>
<profile value="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent-Pregnancy" />
</meta>
<status value="final" />
<code>
<coding>
<system value="http://loinc.org" />
<code value="69442-2" />
<display value="Timing of recent pregnancy in relation to death" />
</coding>
</code>
<subject>
<reference value="example-decedent" />
</subject>
<valueCodeableConcept>
<coding>
<system value="http://www.hl7.org/fhir/stu3/valueset-PregnancyStatusVS" />
<code value="PHC1260" />
<display value="Not pregnant within past year" />
</coding>
</valueCodeableConcept>
</Observation>
