Vital Records Mortality and Morbidity Reporting FHIR Implementation Guide
1.0.0 - STU 1

This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: Death Certificate Reference

Defining URL:http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate-Reference
Version:1.0.0
Name:DeathCertificateReference
Title:VRDR Death Certificate Reference
Status:Draft as of 2020-05-09
Definition:

The Death Certificate Reference profile is used to enable interested parties to assign local identifiers to the death certificate document. The Death Certificate Reference profile builds upon the FHIR Document Reference resource.

Publisher:Health Level Seven International
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate-Reference

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from DocumentReference

Summary

Mandatory: 8 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*DocumentReferenceA reference to a document
... identifier 1..1Identifieridentifier
... status 1..1codestatus
Binding: DocumentReferenceStatus (required)
... type 1..1CodeableConcepttype
Fixed Value: As shown
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 64297-5
..... display1..1stringRepresentation defined by the system
Fixed Value: Death certificate
... author 1..1Reference(VRDR Interested Party)author
... content 1..1BackboneElementDocument referenced
.... attachment 1..1AttachmentWhere to access the document
..... url 1..1urlUri where the data can be found

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*DocumentReferenceA reference to a document
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... masterIdentifier Σ0..1IdentifierMaster Version Specific Identifier
... identifier Σ1..1Identifieridentifier
... status ?!Σ1..1codestatus
Binding: DocumentReferenceStatus (required)
... docStatus Σ0..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type Σ1..1CodeableConcepttype
Binding: DocumentTypeValueSet (preferred)
Fixed Value: As shown
.... id0..0stringUnique id for inter-element referencing
.... extension0..0ExtensionAdditional content defined by implementations
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..0stringUnique id for inter-element referencing
..... extension0..0ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..0stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 64297-5
..... display1..1stringRepresentation defined by the system
Fixed Value: Death certificate
..... userSelected0..0booleanIf this coding was chosen directly by the user
.... text0..0stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of document
Binding: DocumentClassValueSet (example)
... subject Σ0..1Reference(Patient | Practitioner | Group | Device)Who/what is the subject of the document
... date Σ1..1instantWhen this document reference was created
... author Σ1..1Reference(VRDR Interested Party)author
... authenticator 0..1Reference(Practitioner | PractitionerRole | Organization)Who/what authenticated the document
... custodian 0..1Reference(Organization)Organization which maintains the document
... relatesTo Σ0..*BackboneElementRelationships to other documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required)
.... target Σ1..1Reference(DocumentReference)Target of the relationship
... description Σ0..1stringHuman-readable description
... securityLabel Σ0..*CodeableConceptDocument security-tags
Binding: All Security Labels (extensible)
... content Σ1..1BackboneElementDocument referenced
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... attachment Σ1..1AttachmentWhere to access the document
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType Σ0..1codeMime type of the content, with charset etc.
Binding: Mime Types (required)
Example General: text/plain; charset=UTF-8, image/png
..... language Σ0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
Example General: en-AU
..... data 0..1base64BinaryData inline, base64ed
..... url Σ1..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
..... title Σ0..1stringLabel to display in place of the data
Example General: Official Corporate Logo
..... creation Σ0..1dateTimeDate attachment was first created
.... format Σ0..1CodingFormat/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred)
... context Σ0..1BackboneElementClinical context of document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... encounter 0..*Reference(Encounter | EpisodeOfCare)Context of the document content
.... event 0..*CodeableConceptMain clinical acts documented
Binding: v3 Code System ActCode (example)
.... period Σ0..1PeriodTime of service that is being documented
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example)
.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example)
.... sourcePatientInfo 0..1Reference(Patient)Patient demographics from source
.... related 0..*Reference(Resource)Related identifiers or resources

doco Documentation for this format

This structure is derived from DocumentReference

Summary

Mandatory: 8 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*DocumentReferenceA reference to a document
... identifier 1..1Identifieridentifier
... status 1..1codestatus
Binding: DocumentReferenceStatus (required)
... type 1..1CodeableConcepttype
Fixed Value: As shown
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 64297-5
..... display1..1stringRepresentation defined by the system
Fixed Value: Death certificate
... author 1..1Reference(VRDR Interested Party)author
... content 1..1BackboneElementDocument referenced
.... attachment 1..1AttachmentWhere to access the document
..... url 1..1urlUri where the data can be found

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*DocumentReferenceA reference to a document
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... masterIdentifier Σ0..1IdentifierMaster Version Specific Identifier
... identifier Σ1..1Identifieridentifier
... status ?!Σ1..1codestatus
Binding: DocumentReferenceStatus (required)
... docStatus Σ0..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type Σ1..1CodeableConcepttype
Binding: DocumentTypeValueSet (preferred)
Fixed Value: As shown
.... id0..0stringUnique id for inter-element referencing
.... extension0..0ExtensionAdditional content defined by implementations
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..0stringUnique id for inter-element referencing
..... extension0..0ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..0stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 64297-5
..... display1..1stringRepresentation defined by the system
Fixed Value: Death certificate
..... userSelected0..0booleanIf this coding was chosen directly by the user
.... text0..0stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of document
Binding: DocumentClassValueSet (example)
... subject Σ0..1Reference(Patient | Practitioner | Group | Device)Who/what is the subject of the document
... date Σ1..1instantWhen this document reference was created
... author Σ1..1Reference(VRDR Interested Party)author
... authenticator 0..1Reference(Practitioner | PractitionerRole | Organization)Who/what authenticated the document
... custodian 0..1Reference(Organization)Organization which maintains the document
... relatesTo Σ0..*BackboneElementRelationships to other documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required)
.... target Σ1..1Reference(DocumentReference)Target of the relationship
... description Σ0..1stringHuman-readable description
... securityLabel Σ0..*CodeableConceptDocument security-tags
Binding: All Security Labels (extensible)
... content Σ1..1BackboneElementDocument referenced
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... attachment Σ1..1AttachmentWhere to access the document
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType Σ0..1codeMime type of the content, with charset etc.
Binding: Mime Types (required)
Example General: text/plain; charset=UTF-8, image/png
..... language Σ0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
Example General: en-AU
..... data 0..1base64BinaryData inline, base64ed
..... url Σ1..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
..... title Σ0..1stringLabel to display in place of the data
Example General: Official Corporate Logo
..... creation Σ0..1dateTimeDate attachment was first created
.... format Σ0..1CodingFormat/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred)
... context Σ0..1BackboneElementClinical context of document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... encounter 0..*Reference(Encounter | EpisodeOfCare)Context of the document content
.... event 0..*CodeableConceptMain clinical acts documented
Binding: v3 Code System ActCode (example)
.... period Σ0..1PeriodTime of service that is being documented
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example)
.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example)
.... sourcePatientInfo 0..1Reference(Patient)Patient demographics from source
.... related 0..*Reference(Resource)Related identifiers or resources

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
DocumentReference.languagepreferredCommonLanguages
Max Binding: AllLanguages
DocumentReference.statusrequiredDocumentReferenceStatus
DocumentReference.docStatusrequiredCompositionStatus
DocumentReference.typepreferredFixed Value: LOINC code 64297-5("Death certificate")
DocumentReference.categoryexampleDocumentClassValueSet
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
DocumentReference.securityLabelextensibleAll Security Labels
DocumentReference.content.attachment.contentTyperequiredMime Types
DocumentReference.content.attachment.languagepreferredCommonLanguages
Max Binding: AllLanguages
DocumentReference.content.formatpreferredDocumentReferenceFormatCodeSet
DocumentReference.context.eventexamplev3.ActCode
DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet

Constraints

IdPathDetailsRequirements
dom-2DocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3DocumentReferenceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4DocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5DocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6DocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1DocumentReference.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.masterIdentifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.docStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.authenticatorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.custodianAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.relatesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.relatesTo.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.relatesTo.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.relatesTo.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.relatesTo.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.relatesTo.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.relatesTo.targetAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.securityLabelAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.contentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.content.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.content.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.content.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.content.attachmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.content.attachment.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.content.attachment.contentTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.dataAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.urlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.sizeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.hashAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.creationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.formatAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.contextAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.context.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.context.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.context.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.context.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.eventAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.facilityTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.practiceSettingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.sourcePatientInfoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.relatedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())