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

Injury Incident

Injury Incident is a profile of the FHIR STU3 Observation resource. It is used to convey information regarding an injury event associated with the decedentΓÇÖs death. It includes the location of injury, transportation event indicator, and work injury indicator as component observations.


UML Expression


Structure Definition

id 0..1
profile 1..1 Reference(VRDR Injury Incident)
extension1 1..1
extension1 1..1
valueReference
status 1..1 code
coding 1..1
reference 1..1
effective[x] 0..1
effectiveDateTime
value[x] 1..1
valueString
coding 1..1
value[x] 1..1
valueString
coding 1..1
value[x] 1..1
valueCodeableConcept 1..1 Binding
component3 1..1
code3 1..1 CodeableConcept
value[x] 1..1
valueCodeableConcept 1..1 Binding

Element Bindings

Element Name Binding Type Binding Value Fixed Value Code System
code Fixed Value "11374-6" LOINC
component.Place of Injury.code Fixed Value "69450-5" LOINC
component.Transportation Event Indicator.code Fixed Value "69448-9" LOINC
component.Transportation Event Indicator.valueCodeableConcept Value Set v2-0532
component.Work Injury Indicator.code Fixed Value "69444-8" LOINC
component.Work Injury Indicator.valueCodeableConcept Value Set v2-0532
location Reference VRDR Injury Location
status Fixed Value "final" observation-status
subject Reference VRDR Decedent

Element Table

Observation ..
Observation.id 0..1
Observation.meta 0..1
Observation.meta.profile Reference(VRDR Injury Incident) 1..1
Observation.extension ..
Observation.extension:extension1 1..1
Observation.extension:extension1.url:extension1 1..1
Observation.extension:extension1.value[x]:extension1 1..1
Observation.extension:extension1.valueReference:valueReference ..
Observation.status code 1..1
Observation.code 1..1
Observation.code.coding 1..1
Observation.subject 1..1
Observation.subject.reference 1..1
Observation.effective[x] 0..1
Observation.effectiveDateTime:effectiveDateTime ..
Observation.value[x] 1..1
Observation.valueString:valueString ..
Observation.component1 1..1
Observation.component1.code 1..1
Observation.component1.code.coding 1..1
Observation.component1.value[x] 1..1
Observation.component1.valueString:valueString ..
Observation.component2 1..1
Observation.component2.code 1..1
Observation.component2.code.coding 1..1
Observation.component2.value[x] 1..1
Observation.component2.valueCodeableConcept:valueCodeableConcept ..
Observation.component2.valueCodeableConcept:valueCodeableConcept.coding:valueCodeableConcept 1..1
Observation.component3 1..1
Observation.component ..
Observation.component.code3 CodeableConcept 1..1
Observation.component3 ..
Observation.component3.value[x] 1..1
Observation.component3.valueCodeableConcept:valueCodeableConcept ..
Observation.component3.valueCodeableConcept:valueCodeableConcept.coding:valueCodeableConcept 1..1


Requirements Traceability Mappings

Element Path Reference Location Data Item
effectiveDateTime Vital Records DAM 2.1.03 Injury injuryDateTime
effectiveDateTime Death Certificate Item 38 Date of Injury
effectiveDateTime Death Certificate Item 39 Time of Injury
effectiveDateTime Standard Death Record IG SDR DetailsOfInjury Profile Observation.effectiveDateTime
valueCodeableConcept Vital Records DAM 2.1.03 Injury transportationInjuryRole
valueCodeableConcept Vital Records DAM 2.1.03 Injury workInjuryIndicator
valueCodeableConcept Death Certificate Item 41 Injury at Work?
valueCodeableConcept Death Certificate Item 44 If Transportation Injury, specify [the role of the decedent]
valueCodeableConcept Standard Death Record IG SDR DeathFromTransportInjury Profile Observation.valueCodeableConcept
valueCodeableConcept Standard Death Record IG SDR DeathFromWorkInjury Profile Observation.valueBoolean
valueString Vital Records DAM 2.1.03 Injury injuryOccurrenceDescription
valueString Vital Records DAM 2.1.03 Injury locationDescription
valueString Death Certificate Item 40 Place of Injury
valueString Death Certificate Item 43 Describe How Injury Occurred
valueString Standard Death Record IG SDR DetailsOfInjury Profile Observation.extension:placeofinjury
valueString Standard Death Record IG SDR DetailsOfInjury Profile Observation.valueString

Instance Example

<Observation>
  <id value="example-injury-incident" />
  <meta>
    <profile value="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Injury-Incident" />
  </meta>
  <extension url="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Injury-Location">
    <valueReference>
      <reference value="example-injury-location" />
    </valueReference>
  </extension>
  <status value="final" />
  <code>
    <coding>
      <system value="urn:oid:2.16.840.1.113883.3.290.2.1.19" />
      <code value="11374-6" />
      <display value="Injury incident description" />
    </coding>
  </code>
  <subject>
    <reference value="example-decedent" />
  </subject>
  <effectiveDateTime value="2018-04-19T15:43:00+00:00" />
  <valueString value="Example details of injury" />
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.6.1" />
        <code value="69450-5" />
        <display value="Place of injury" />
      </coding>
    </code>
    <valueString value="Decedent's Home" />
  </component>
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.6.1" />
        <code value="69448-9" />
        <display value="Injury leading to death associated with transportation event" />
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://github.com/nightingaleproject/fhirDeathRecord/sdr/causeOfDeath/vs/TransportRelationshipsVS" />
        <code value="236320001" />
        <display value="Vehicle driver" />
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.6.1" />
        <code value="69444-8" />
        <display value="Did death result from injury at work" />
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://www.hl7.org/fhir/v2/0136" />
        <code value="Y" />
        <display value="Yes" />
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>