This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v2.0.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate | Version: 2.0.0 | |||
Active as of 2022-08-31 | Computable Name: DeathCertificate |
The body of the death certificate document (Composition).
The Death Certificate profile is a composition (bundle) comprising the core content of a death registration.
Notes:
Additional content can be included in the Death Certificate Document and referenced in the Death Certificate based on standard resources and profiles. Further profiling of Practitioner and PractitionerRole may be called for in the future. At present, standard USCore profiles can be used, and these are not cited in this Implementation Guide. For example:
The content is broken down into the following sections:
Note: NCHS will not process submissions where the death certificate contains a ‘replace status’ of updated_notforNCHS.
The profile includes:
# | Description | IJE Name | IJE only | Field | Type | Value Set |
---|---|---|---|---|---|---|
6 | Source flag: paper/electronic | MFILED | extension[ filingFormat] | codeable | FilingFormatVS | |
96 | Date of Registration–Year | DOR_YR | date | dateTime | - | |
97 | Date of Registration–Month | DOR_MO | date | dateTime | - | |
98 | Date of Registration–Day | DOR_DY | date | dateTime | - | |
122 | State Specific Data | STATESP | extension[ stateSpecificField] | string(30) | - | |
184 | Replacement Record | REPLACE | extension[replaceStatus].value | codeable | ReplaceStatusVS |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
Summary
Mandatory: 4 elements (3 nested mandatory elements)
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
This structure is derived from Composition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
filingFormat | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat Binding: Filing Format ValueSet (required) | |
replaceStatus | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus Binding: Replacement Status VS (required) | |
stateSpecificField | 0..1 | string | Extension URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField | |
status | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) | |
type | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5 | |
subject | 1..1 | Reference(Decedent) | Who and/or what the composition is about | |
date | 1..1 | dateTime | Date of Registration | |
attester | ||||
mode | 1..1 | code | personal | professional | legal | official Fixed Value: legal | |
party | 0..1 | Reference(Certifier) | Certifier. | |
event | 1..1 | BackboneElement | The clinical service(s) being documented | |
code | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 103693007 | |
detail | 1..1 | Reference(Death Certification Procedure) | The event(s) being documented | |
Slices for section | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | |
section:All Slices | Content/Rules for all slices | |||
code | 1..1 | CodeableConcept | Classification of section (recommended) | |
section:DecedentDemographics | 0..1 | BackboneElement | DecedentDemographics | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDemographics | |
Slices for entry | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | |
entry:Decedent | 1..1 | Reference(Decedent) | Decedent | |
entry:Father | 0..1 | Reference(Decedent Father) | DecedentFather | |
entry:Mother | 0..1 | Reference(Decedent Mother) | DecedentMother | |
entry:Spouse | 0..1 | Reference(Decedent Spouse) | DecedentSpouse | |
entry:Age | 0..1 | Reference(Decedent Age) | DecedentAge | |
entry:BirthRecordID | 0..1 | Reference(Birth Record Identifier) | BirthRecordIdentifier | |
entry:EducationLevel | 0..1 | Reference(Decedent Education Level) | DecedentEducationLevel | |
entry:MilitaryService | 0..1 | Reference(Decedent Military Service) | DecedentMilitaryService | |
entry:UsualWork | 0..1 | Reference(Decedent Usual Work) | DecedentUsualWork | |
entry:EmergingIssues | 0..1 | Reference(Emerging Issues) | EmergingIssues | |
entry:InputRaceAndEthnicity | 0..1 | Reference(Input Race and Ethnicity) | InputRaceAndEthnicity | |
section:DeathInvestigation | 0..1 | BackboneElement | DeathInvestigation | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathInvestigation | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | |
entry:ExaminerContacted | 0..1 | Reference(Examiner Contacted) | ExaminerContacted | |
entry:PregnancyStatus | 0..1 | Reference(Decedent Pregnancy Status) | DecedentPregnancyStatus | |
entry:TobaccoUse | 0..1 | Reference(Tobacco Use Contributed To Death) | TobaccoUse | |
entry:DeathLocation | 0..1 | Reference(Death Location) | Death Location | |
entry:InjuryLocation | 0..1 | Reference(Injury Location) | Injury Location | |
entry:PlaceOfInjury | 0..1 | Reference(Place Of Injury) | PlaceOfInjury | |
entry:InjuryIncident | 0..1 | Reference(Injury Incident) | InjuryIncident | |
entry:Autopsy | 0..1 | Reference(Autopsy Performed Indicator) | AutopsyPerformedIndicator | |
entry:DeathDate | 0..1 | Reference(Death Date) | DeathDate | |
entry:SurgeryDate | 0..1 | Reference(Surgery Date) | SurgeryDate | |
section:DeathCertification | 0..1 | BackboneElement | DeathCertification | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathCertification | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | |
entry:Certifier | 0..1 | Reference(Certifier) | Certifier | |
entry:DeathCertification | 0..1 | Reference(Death Certification Procedure) | DeathCertification | |
entry:MannerOfDeath | 0..1 | Reference(Manner of Death) | MannerOfDeath | |
entry:CauseOfDeathPart1 | 0..4 | Reference(Cause Of Death Part 1) | CauseOfDeathPart1 | |
entry:CauseOfDeathPart2 | 0..1 | Reference(Cause of Death Part 2) | CauseOfDeathPart2 | |
section:DecedentDisposition | 0..1 | BackboneElement | DecedentDisposition | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDisposition | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | |
entry:DispositionLocation | 0..1 | Reference(Disposition Location) | DispositionLocation | |
entry:FuneralHome | 0..1 | Reference(Funeral Home) | FuneralHome | |
entry:DispositionMethod | 0..1 | Reference(Decedent Disposition Method) | DispositionMethod | |
entry:Mortician | 0..1 | Reference(US Core Practitioner Profile) | Mortician | |
section:CodedContent | 0..1 | BackboneElement | CodedContent | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CodedContent | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | |
entry:ActivityAtTimeOfDeath | 0..1 | Reference(Activity at Time of Death) | ActivityAtTimeOfDeath | |
entry:AutomatedUnderlyingCauseOfDeath | 0..1 | Reference(Automated Underlying Cause Of Death) | AutomatedUnderlyingCauseOfDeath | |
entry:ManualUnderlyingCauseOfDeath | 0..1 | Reference(Manual Underlying Cause Of Death) | ManualUnderlyingCauseOfDeath | |
entry:CodedRaceAndEthnicity | 0..1 | Reference(Coded Race and Ethnicity) | CodedRaceAndEthnicity | |
entry:EntityAxisCauseOfDeath | 0..20 | Reference(Entity Axis Cause Of Death) | EntityAxisCauseOfDeath | |
entry:RecordAxisCauseOfDeath | 0..20 | Reference(Record Axis Cause Of Death) | RecordAxisCauseOfDeath | |
entry:PlaceOfInjury | 0..1 | Reference(Place Of Injury) | PlaceOfInjury | |
entry:CodingStatusValues | 0..1 | Reference(Coding Status Values) | CodingStatusValues | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
id | Σ | 0..1 | string | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
filingFormat | 0..1 | CodeableConcept | Optional Extensions Element URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat Binding: Filing Format ValueSet (required) | |||||
replaceStatus | 0..1 | CodeableConcept | Optional Extensions Element URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus Binding: Replacement Status VS (required) | |||||
stateSpecificField | 0..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) | ||||
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
subject | Σ | 1..1 | Reference(Decedent) | Who and/or what the composition is about | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
date | Σ | 1..1 | dateTime | Date of Registration | ||||
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition | ||||
title | Σ | 1..1 | string | Human Readable name/title | ||||
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal | |||||
time | 0..1 | dateTime | When the composition was attested | |||||
party | 0..1 | Reference(Certifier) | Certifier. | |||||
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
target[x] | 1..1 | Target of the relationship | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(Composition) | |||||||
event | Σ | 1..1 | BackboneElement | The clinical service(s) being documented | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 103693007 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
period | Σ | 0..1 | Period | The period covered by the documentation | ||||
detail | Σ | 1..1 | Reference(Death Certification Procedure) | The event(s) being documented | ||||
Slices for section | I | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | ||||
section:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | I | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
section:DecedentDemographics | I | 0..1 | BackboneElement | DecedentDemographics | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDemographics | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | I | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:Decedent | I | 1..1 | Reference(Decedent) | Decedent | ||||
entry:Father | I | 0..1 | Reference(Decedent Father) | DecedentFather | ||||
entry:Mother | I | 0..1 | Reference(Decedent Mother) | DecedentMother | ||||
entry:Spouse | I | 0..1 | Reference(Decedent Spouse) | DecedentSpouse | ||||
entry:Age | I | 0..1 | Reference(Decedent Age) | DecedentAge | ||||
entry:BirthRecordID | I | 0..1 | Reference(Birth Record Identifier) | BirthRecordIdentifier | ||||
entry:EducationLevel | I | 0..1 | Reference(Decedent Education Level) | DecedentEducationLevel | ||||
entry:MilitaryService | I | 0..1 | Reference(Decedent Military Service) | DecedentMilitaryService | ||||
entry:UsualWork | I | 0..1 | Reference(Decedent Usual Work) | DecedentUsualWork | ||||
entry:EmergingIssues | I | 0..1 | Reference(Emerging Issues) | EmergingIssues | ||||
entry:InputRaceAndEthnicity | I | 0..1 | Reference(Input Race and Ethnicity) | InputRaceAndEthnicity | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
section:DeathInvestigation | I | 0..1 | BackboneElement | DeathInvestigation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathInvestigation | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | I | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:ExaminerContacted | I | 0..1 | Reference(Examiner Contacted) | ExaminerContacted | ||||
entry:PregnancyStatus | I | 0..1 | Reference(Decedent Pregnancy Status) | DecedentPregnancyStatus | ||||
entry:TobaccoUse | I | 0..1 | Reference(Tobacco Use Contributed To Death) | TobaccoUse | ||||
entry:DeathLocation | I | 0..1 | Reference(Death Location) | Death Location | ||||
entry:InjuryLocation | I | 0..1 | Reference(Injury Location) | Injury Location | ||||
entry:PlaceOfInjury | I | 0..1 | Reference(Place Of Injury) | PlaceOfInjury | ||||
entry:InjuryIncident | I | 0..1 | Reference(Injury Incident) | InjuryIncident | ||||
entry:Autopsy | I | 0..1 | Reference(Autopsy Performed Indicator) | AutopsyPerformedIndicator | ||||
entry:DeathDate | I | 0..1 | Reference(Death Date) | DeathDate | ||||
entry:SurgeryDate | I | 0..1 | Reference(Surgery Date) | SurgeryDate | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
section:DeathCertification | I | 0..1 | BackboneElement | DeathCertification | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathCertification | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | I | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:Certifier | I | 0..1 | Reference(Certifier) | Certifier | ||||
entry:DeathCertification | I | 0..1 | Reference(Death Certification Procedure) | DeathCertification | ||||
entry:MannerOfDeath | I | 0..1 | Reference(Manner of Death) | MannerOfDeath | ||||
entry:CauseOfDeathPart1 | I | 0..4 | Reference(Cause Of Death Part 1) | CauseOfDeathPart1 | ||||
entry:CauseOfDeathPart2 | I | 0..1 | Reference(Cause of Death Part 2) | CauseOfDeathPart2 | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
section:DecedentDisposition | I | 0..1 | BackboneElement | DecedentDisposition | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDisposition | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | I | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:DispositionLocation | I | 0..1 | Reference(Disposition Location) | DispositionLocation | ||||
entry:FuneralHome | I | 0..1 | Reference(Funeral Home) | FuneralHome | ||||
entry:DispositionMethod | I | 0..1 | Reference(Decedent Disposition Method) | DispositionMethod | ||||
entry:Mortician | I | 0..1 | Reference(US Core Practitioner Profile) | Mortician | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
section:CodedContent | I | 0..1 | BackboneElement | CodedContent | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CodedContent | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | I | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:ActivityAtTimeOfDeath | I | 0..1 | Reference(Activity at Time of Death) | ActivityAtTimeOfDeath | ||||
entry:AutomatedUnderlyingCauseOfDeath | I | 0..1 | Reference(Automated Underlying Cause Of Death) | AutomatedUnderlyingCauseOfDeath | ||||
entry:ManualUnderlyingCauseOfDeath | I | 0..1 | Reference(Manual Underlying Cause Of Death) | ManualUnderlyingCauseOfDeath | ||||
entry:CodedRaceAndEthnicity | I | 0..1 | Reference(Coded Race and Ethnicity) | CodedRaceAndEthnicity | ||||
entry:EntityAxisCauseOfDeath | I | 0..20 | Reference(Entity Axis Cause Of Death) | EntityAxisCauseOfDeath | ||||
entry:RecordAxisCauseOfDeath | I | 0..20 | Reference(Record Axis Cause Of Death) | RecordAxisCauseOfDeath | ||||
entry:PlaceOfInjury | I | 0..1 | Reference(Place Of Injury) | PlaceOfInjury | ||||
entry:CodingStatusValues | I | 0..1 | Reference(Coding Status Values) | CodingStatusValues | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
Documentation for this format |
This structure is derived from Composition
Summary
Mandatory: 4 elements (3 nested mandatory elements)
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Composition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
filingFormat | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat Binding: Filing Format ValueSet (required) | |
replaceStatus | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus Binding: Replacement Status VS (required) | |
stateSpecificField | 0..1 | string | Extension URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField | |
status | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) | |
type | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5 | |
subject | 1..1 | Reference(Decedent) | Who and/or what the composition is about | |
date | 1..1 | dateTime | Date of Registration | |
attester | ||||
mode | 1..1 | code | personal | professional | legal | official Fixed Value: legal | |
party | 0..1 | Reference(Certifier) | Certifier. | |
event | 1..1 | BackboneElement | The clinical service(s) being documented | |
code | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 103693007 | |
detail | 1..1 | Reference(Death Certification Procedure) | The event(s) being documented | |
Slices for section | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | |
section:All Slices | Content/Rules for all slices | |||
code | 1..1 | CodeableConcept | Classification of section (recommended) | |
section:DecedentDemographics | 0..1 | BackboneElement | DecedentDemographics | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDemographics | |
Slices for entry | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | |
entry:Decedent | 1..1 | Reference(Decedent) | Decedent | |
entry:Father | 0..1 | Reference(Decedent Father) | DecedentFather | |
entry:Mother | 0..1 | Reference(Decedent Mother) | DecedentMother | |
entry:Spouse | 0..1 | Reference(Decedent Spouse) | DecedentSpouse | |
entry:Age | 0..1 | Reference(Decedent Age) | DecedentAge | |
entry:BirthRecordID | 0..1 | Reference(Birth Record Identifier) | BirthRecordIdentifier | |
entry:EducationLevel | 0..1 | Reference(Decedent Education Level) | DecedentEducationLevel | |
entry:MilitaryService | 0..1 | Reference(Decedent Military Service) | DecedentMilitaryService | |
entry:UsualWork | 0..1 | Reference(Decedent Usual Work) | DecedentUsualWork | |
entry:EmergingIssues | 0..1 | Reference(Emerging Issues) | EmergingIssues | |
entry:InputRaceAndEthnicity | 0..1 | Reference(Input Race and Ethnicity) | InputRaceAndEthnicity | |
section:DeathInvestigation | 0..1 | BackboneElement | DeathInvestigation | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathInvestigation | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | |
entry:ExaminerContacted | 0..1 | Reference(Examiner Contacted) | ExaminerContacted | |
entry:PregnancyStatus | 0..1 | Reference(Decedent Pregnancy Status) | DecedentPregnancyStatus | |
entry:TobaccoUse | 0..1 | Reference(Tobacco Use Contributed To Death) | TobaccoUse | |
entry:DeathLocation | 0..1 | Reference(Death Location) | Death Location | |
entry:InjuryLocation | 0..1 | Reference(Injury Location) | Injury Location | |
entry:PlaceOfInjury | 0..1 | Reference(Place Of Injury) | PlaceOfInjury | |
entry:InjuryIncident | 0..1 | Reference(Injury Incident) | InjuryIncident | |
entry:Autopsy | 0..1 | Reference(Autopsy Performed Indicator) | AutopsyPerformedIndicator | |
entry:DeathDate | 0..1 | Reference(Death Date) | DeathDate | |
entry:SurgeryDate | 0..1 | Reference(Surgery Date) | SurgeryDate | |
section:DeathCertification | 0..1 | BackboneElement | DeathCertification | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathCertification | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | |
entry:Certifier | 0..1 | Reference(Certifier) | Certifier | |
entry:DeathCertification | 0..1 | Reference(Death Certification Procedure) | DeathCertification | |
entry:MannerOfDeath | 0..1 | Reference(Manner of Death) | MannerOfDeath | |
entry:CauseOfDeathPart1 | 0..4 | Reference(Cause Of Death Part 1) | CauseOfDeathPart1 | |
entry:CauseOfDeathPart2 | 0..1 | Reference(Cause of Death Part 2) | CauseOfDeathPart2 | |
section:DecedentDisposition | 0..1 | BackboneElement | DecedentDisposition | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDisposition | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | |
entry:DispositionLocation | 0..1 | Reference(Disposition Location) | DispositionLocation | |
entry:FuneralHome | 0..1 | Reference(Funeral Home) | FuneralHome | |
entry:DispositionMethod | 0..1 | Reference(Decedent Disposition Method) | DispositionMethod | |
entry:Mortician | 0..1 | Reference(US Core Practitioner Profile) | Mortician | |
section:CodedContent | 0..1 | BackboneElement | CodedContent | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CodedContent | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | |
entry:ActivityAtTimeOfDeath | 0..1 | Reference(Activity at Time of Death) | ActivityAtTimeOfDeath | |
entry:AutomatedUnderlyingCauseOfDeath | 0..1 | Reference(Automated Underlying Cause Of Death) | AutomatedUnderlyingCauseOfDeath | |
entry:ManualUnderlyingCauseOfDeath | 0..1 | Reference(Manual Underlying Cause Of Death) | ManualUnderlyingCauseOfDeath | |
entry:CodedRaceAndEthnicity | 0..1 | Reference(Coded Race and Ethnicity) | CodedRaceAndEthnicity | |
entry:EntityAxisCauseOfDeath | 0..20 | Reference(Entity Axis Cause Of Death) | EntityAxisCauseOfDeath | |
entry:RecordAxisCauseOfDeath | 0..20 | Reference(Record Axis Cause Of Death) | RecordAxisCauseOfDeath | |
entry:PlaceOfInjury | 0..1 | Reference(Place Of Injury) | PlaceOfInjury | |
entry:CodingStatusValues | 0..1 | Reference(Coding Status Values) | CodingStatusValues | |
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
id | Σ | 0..1 | string | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
filingFormat | 0..1 | CodeableConcept | Optional Extensions Element URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat Binding: Filing Format ValueSet (required) | |||||
replaceStatus | 0..1 | CodeableConcept | Optional Extensions Element URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus Binding: Replacement Status VS (required) | |||||
stateSpecificField | 0..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) | ||||
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
subject | Σ | 1..1 | Reference(Decedent) | Who and/or what the composition is about | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
date | Σ | 1..1 | dateTime | Date of Registration | ||||
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition | ||||
title | Σ | 1..1 | string | Human Readable name/title | ||||
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal | |||||
time | 0..1 | dateTime | When the composition was attested | |||||
party | 0..1 | Reference(Certifier) | Certifier. | |||||
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
target[x] | 1..1 | Target of the relationship | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(Composition) | |||||||
event | Σ | 1..1 | BackboneElement | The clinical service(s) being documented | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 103693007 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
period | Σ | 0..1 | Period | The period covered by the documentation | ||||
detail | Σ | 1..1 | Reference(Death Certification Procedure) | The event(s) being documented | ||||
Slices for section | I | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | ||||
section:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | I | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
section:DecedentDemographics | I | 0..1 | BackboneElement | DecedentDemographics | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDemographics | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | I | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:Decedent | I | 1..1 | Reference(Decedent) | Decedent | ||||
entry:Father | I | 0..1 | Reference(Decedent Father) | DecedentFather | ||||
entry:Mother | I | 0..1 | Reference(Decedent Mother) | DecedentMother | ||||
entry:Spouse | I | 0..1 | Reference(Decedent Spouse) | DecedentSpouse | ||||
entry:Age | I | 0..1 | Reference(Decedent Age) | DecedentAge | ||||
entry:BirthRecordID | I | 0..1 | Reference(Birth Record Identifier) | BirthRecordIdentifier | ||||
entry:EducationLevel | I | 0..1 | Reference(Decedent Education Level) | DecedentEducationLevel | ||||
entry:MilitaryService | I | 0..1 | Reference(Decedent Military Service) | DecedentMilitaryService | ||||
entry:UsualWork | I | 0..1 | Reference(Decedent Usual Work) | DecedentUsualWork | ||||
entry:EmergingIssues | I | 0..1 | Reference(Emerging Issues) | EmergingIssues | ||||
entry:InputRaceAndEthnicity | I | 0..1 | Reference(Input Race and Ethnicity) | InputRaceAndEthnicity | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
section:DeathInvestigation | I | 0..1 | BackboneElement | DeathInvestigation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathInvestigation | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | I | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:ExaminerContacted | I | 0..1 | Reference(Examiner Contacted) | ExaminerContacted | ||||
entry:PregnancyStatus | I | 0..1 | Reference(Decedent Pregnancy Status) | DecedentPregnancyStatus | ||||
entry:TobaccoUse | I | 0..1 | Reference(Tobacco Use Contributed To Death) | TobaccoUse | ||||
entry:DeathLocation | I | 0..1 | Reference(Death Location) | Death Location | ||||
entry:InjuryLocation | I | 0..1 | Reference(Injury Location) | Injury Location | ||||
entry:PlaceOfInjury | I | 0..1 | Reference(Place Of Injury) | PlaceOfInjury | ||||
entry:InjuryIncident | I | 0..1 | Reference(Injury Incident) | InjuryIncident | ||||
entry:Autopsy | I | 0..1 | Reference(Autopsy Performed Indicator) | AutopsyPerformedIndicator | ||||
entry:DeathDate | I | 0..1 | Reference(Death Date) | DeathDate | ||||
entry:SurgeryDate | I | 0..1 | Reference(Surgery Date) | SurgeryDate | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
section:DeathCertification | I | 0..1 | BackboneElement | DeathCertification | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathCertification | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | I | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:Certifier | I | 0..1 | Reference(Certifier) | Certifier | ||||
entry:DeathCertification | I | 0..1 | Reference(Death Certification Procedure) | DeathCertification | ||||
entry:MannerOfDeath | I | 0..1 | Reference(Manner of Death) | MannerOfDeath | ||||
entry:CauseOfDeathPart1 | I | 0..4 | Reference(Cause Of Death Part 1) | CauseOfDeathPart1 | ||||
entry:CauseOfDeathPart2 | I | 0..1 | Reference(Cause of Death Part 2) | CauseOfDeathPart2 | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
section:DecedentDisposition | I | 0..1 | BackboneElement | DecedentDisposition | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDisposition | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | I | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:DispositionLocation | I | 0..1 | Reference(Disposition Location) | DispositionLocation | ||||
entry:FuneralHome | I | 0..1 | Reference(Funeral Home) | FuneralHome | ||||
entry:DispositionMethod | I | 0..1 | Reference(Decedent Disposition Method) | DispositionMethod | ||||
entry:Mortician | I | 0..1 | Reference(US Core Practitioner Profile) | Mortician | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
section:CodedContent | I | 0..1 | BackboneElement | CodedContent | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CodedContent | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | I | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:ActivityAtTimeOfDeath | I | 0..1 | Reference(Activity at Time of Death) | ActivityAtTimeOfDeath | ||||
entry:AutomatedUnderlyingCauseOfDeath | I | 0..1 | Reference(Automated Underlying Cause Of Death) | AutomatedUnderlyingCauseOfDeath | ||||
entry:ManualUnderlyingCauseOfDeath | I | 0..1 | Reference(Manual Underlying Cause Of Death) | ManualUnderlyingCauseOfDeath | ||||
entry:CodedRaceAndEthnicity | I | 0..1 | Reference(Coded Race and Ethnicity) | CodedRaceAndEthnicity | ||||
entry:EntityAxisCauseOfDeath | I | 0..20 | Reference(Entity Axis Cause Of Death) | EntityAxisCauseOfDeath | ||||
entry:RecordAxisCauseOfDeath | I | 0..20 | Reference(Record Axis Cause Of Death) | RecordAxisCauseOfDeath | ||||
entry:PlaceOfInjury | I | 0..1 | Reference(Place Of Injury) | PlaceOfInjury | ||||
entry:CodingStatusValues | I | 0..1 | Reference(Coding Status Values) | CodingStatusValues | ||||
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | I | 0..* | See section (Composition) | Nested Section | ||||
Documentation for this format |
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet / Code |
Composition.language | preferred | CommonLanguages Max Binding: AllLanguages |
Composition.status | required | CompositionStatus |
Composition.type | preferred | Pattern: LOINC code 64297-5 |
Composition.category | example | DocumentClassValueSet |
Composition.confidentiality | required | v3.ConfidentialityClassification |
Composition.attester.mode | required | Fixed Value: legal |
Composition.relatesTo.code | required | DocumentRelationshipType |
Composition.event.code | example | Pattern: SNOMED CT code 103693007 |
Composition.section.code | example | DocumentSectionCodes |
Composition.section.mode | required | ListMode |
Composition.section.orderedBy | preferred | ListOrderCodes |
Composition.section.emptyReason | preferred | ListEmptyReasons |
Composition.section:DecedentDemographics.code | example | Pattern: DecedentDemographics |
Composition.section:DecedentDemographics.mode | required | ListMode |
Composition.section:DecedentDemographics.orderedBy | preferred | ListOrderCodes |
Composition.section:DecedentDemographics.emptyReason | preferred | ListEmptyReasons |
Composition.section:DeathInvestigation.code | example | Pattern: DeathInvestigation |
Composition.section:DeathInvestigation.mode | required | ListMode |
Composition.section:DeathInvestigation.orderedBy | preferred | ListOrderCodes |
Composition.section:DeathInvestigation.emptyReason | preferred | ListEmptyReasons |
Composition.section:DeathCertification.code | example | Pattern: DeathCertification |
Composition.section:DeathCertification.mode | required | ListMode |
Composition.section:DeathCertification.orderedBy | preferred | ListOrderCodes |
Composition.section:DeathCertification.emptyReason | preferred | ListEmptyReasons |
Composition.section:DecedentDisposition.code | example | Pattern: DecedentDisposition |
Composition.section:DecedentDisposition.mode | required | ListMode |
Composition.section:DecedentDisposition.orderedBy | preferred | ListOrderCodes |
Composition.section:DecedentDisposition.emptyReason | preferred | ListEmptyReasons |
Composition.section:CodedContent.code | example | Pattern: CodedContent |
Composition.section:CodedContent.mode | required | ListMode |
Composition.section:CodedContent.orderedBy | preferred | ListOrderCodes |
Composition.section:CodedContent.emptyReason | preferred | ListEmptyReasons |