Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.0.0 - STU 2 US

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

Resource Profile: Death Certificate

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).

Usage

The Death Certificate profile is a composition (bundle) comprising the core content of a death registration.

Notes:

  • THe DeathCertificate is the first entry in the DeathCertificateDocument, and includes references to other entries in that Bundle.

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:

  • Funeral Home Licensee (USCorePractitionerRole)
  • Mortician (USCorePractitioner)
  • Funeral Home Director (USCorePractitionerRole)
  • Death Pronouncement Performer (USCorePractitioner)

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:

Formal Views of Profile Content

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:

  • The element Composition.section is sliced based on the value of pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.resolve()

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... filingFormat 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
Binding: Filing Format ValueSet (required)
... replaceStatus 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
Binding: Replacement Status VS (required)
... status 1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type 1..1CodeableConceptKind of composition (LOINC if possible)
Required Pattern: At least the following
.... coding1..*CodingCode 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
... subject 1..1Reference(Decedent)Who and/or what the composition is about
... date 1..1dateTimeDate of Registration
... attester
.... mode 1..1codepersonal | professional | legal | official
Fixed Value: legal
.... party 0..1Reference(Certifier)Certifier.
... event 1..1BackboneElementThe clinical service(s) being documented
.... code 1..1CodeableConceptCode(s) that apply to the event being documented
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 103693007
.... detail 1..1Reference(Death Certification Procedure)The event(s) being documented
... Slices for section 0..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... code 1..1CodeableConceptClassification of section (recommended)
.... section:DecedentDemographics 0..1BackboneElementDecedentDemographics
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code1..1codeSymbol 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:$this.resolve()
...... entry:Decedent 1..1Reference(Decedent)Decedent
...... entry:Father 0..1Reference(Decedent Father)DecedentFather
...... entry:Mother 0..1Reference(Decedent Mother)DecedentMother
...... entry:Spouse 0..1Reference(Decedent Spouse)DecedentSpouse
...... entry:Age 0..1Reference(Decedent Age)DecedentAge
...... entry:BirthRecordID 0..1Reference(Birth Record Identifier)BirthRecordIdentifier
...... entry:EducationLevel 0..1Reference(Decedent Education Level)DecedentEducationLevel
...... entry:MilitaryService 0..1Reference(Decedent Military Service)DecedentMilitaryService
...... entry:UsualWork 0..1Reference(Decedent Usual Work)DecedentUsualWork
...... entry:EmergingIssues 0..1Reference(Emerging Issues)EmergingIssues
...... entry:InputRaceAndEthnicity 0..1Reference(Input Race and Ethnicity)InputRaceAndEthnicity
.... section:DeathInvestigation 0..1BackboneElementDeathInvestigation
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DeathInvestigation
..... Slices for entry 0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ExaminerContacted 0..1Reference(Examiner Contacted)ExaminerContacted
...... entry:PregnancyStatus 0..1Reference(Decedent Pregnancy Status)DecedentPregnancyStatus
...... entry:TobaccoUse 0..1Reference(Tobacco Use Contributed To Death)TobaccoUse
...... entry:DeathLocation 0..1Reference(Death Location)Death Location
...... entry:InjuryLocation 0..1Reference(Injury Location)Injury Location
...... entry:PlaceOfInjury 0..1Reference(Place Of Injury)PlaceOfInjury
...... entry:InjuryIncident 0..1Reference(Injury Incident)InjuryIncident
...... entry:Autopsy 0..1Reference(Autopsy Performed Indicator)AutopsyPerformedIndicator
...... entry:DeathDate 0..1Reference(Death Date)DeathDate
...... entry:SurgeryDate 0..1Reference(Surgery Date)SurgeryDate
.... section:DeathCertification 0..1BackboneElementDeathCertification
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code1..1codeSymbol 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:$this.resolve()
...... entry:Certifier 0..1Reference(Certifier)Certifier
...... entry:DeathCertification 0..1Reference(Death Certification Procedure)DeathCertification
...... entry:MannerOfDeath 0..1Reference(Manner of Death)MannerOfDeath
...... entry:CauseOfDeathPart1 0..4Reference(Cause Of Death Part 1)CauseOfDeathPart1
...... entry:CauseOfDeathPart2 0..1Reference(Cause of Death Part 2)CauseOfDeathPart2
.... section:DecedentDisposition 0..1BackboneElementDecedentDisposition
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DecedentDisposition
..... Slices for entry 0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:DispositionLocation 0..1Reference(Disposition Location)DispositionLocation
...... entry:FuneralHome 0..1Reference(Funeral Home)FuneralHome
...... entry:DispositionMethod 0..1Reference(Decedent Disposition Method)DispositionMethod
...... entry:Mortician 0..1Reference(US Core Practitioner Profile)Mortician
.... section:CodedContent 0..1BackboneElementCodedContent
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code1..1codeSymbol 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..1Reference(Activity at Time of Death)ActivityAtTimeOfDeath
...... entry:AutomatedUnderlyingCauseOfDeath 0..1Reference(Automated Underlying Cause Of Death)AutomatedUnderlyingCauseOfDeath
...... entry:ManualUnderlyingCauseOfDeath 0..1Reference(Manual Underlying Cause Of Death)ManualUnderlyingCauseOfDeath
...... entry:CodedRaceAndEthnicity 0..1Reference(Coded Race and Ethnicity)CodedRaceAndEthnicity
...... entry:EntityAxisCauseOfDeath 0..20Reference(Entity Axis Cause Of Death)EntityAxisCauseOfDeath
...... entry:RecordAxisCauseOfDeath 0..20Reference(Record Axis Cause Of Death)RecordAxisCauseOfDeath
...... entry:PlaceOfInjury 0..1Reference(Place Of Injury)PlaceOfInjury
...... entry:CodingStatusValues 0..1Reference(Coding Status Values)CodingStatusValues

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... 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
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... filingFormat 0..1CodeableConceptOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
Binding: Filing Format ValueSet (required)
... replaceStatus 0..1CodeableConceptOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
Binding: Replacement Status VS (required)
... stateSpecificField 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 64297-5
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(Decedent)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter)Context of the Composition
... date Σ1..1dateTimeDate of Registration
... author Σ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... 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
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Certifier)Certifier.
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/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 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ1..1BackboneElementThe clinical service(s) being documented
.... 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..1CodeableConceptCode(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
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 103693007
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ1..1Reference(Death Certification Procedure)The event(s) being documented
... Slices for section I0..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:DecedentDemographics I0..1BackboneElementDecedentDemographics
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DecedentDemographics
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry I1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Decedent I1..1Reference(Decedent)Decedent
...... entry:Father I0..1Reference(Decedent Father)DecedentFather
...... entry:Mother I0..1Reference(Decedent Mother)DecedentMother
...... entry:Spouse I0..1Reference(Decedent Spouse)DecedentSpouse
...... entry:Age I0..1Reference(Decedent Age)DecedentAge
...... entry:BirthRecordID I0..1Reference(Birth Record Identifier)BirthRecordIdentifier
...... entry:EducationLevel I0..1Reference(Decedent Education Level)DecedentEducationLevel
...... entry:MilitaryService I0..1Reference(Decedent Military Service)DecedentMilitaryService
...... entry:UsualWork I0..1Reference(Decedent Usual Work)DecedentUsualWork
...... entry:EmergingIssues I0..1Reference(Emerging Issues)EmergingIssues
...... entry:InputRaceAndEthnicity I0..1Reference(Input Race and Ethnicity)InputRaceAndEthnicity
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:DeathInvestigation I0..1BackboneElementDeathInvestigation
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DeathInvestigation
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry I0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ExaminerContacted I0..1Reference(Examiner Contacted)ExaminerContacted
...... entry:PregnancyStatus I0..1Reference(Decedent Pregnancy Status)DecedentPregnancyStatus
...... entry:TobaccoUse I0..1Reference(Tobacco Use Contributed To Death)TobaccoUse
...... entry:DeathLocation I0..1Reference(Death Location)Death Location
...... entry:InjuryLocation I0..1Reference(Injury Location)Injury Location
...... entry:PlaceOfInjury I0..1Reference(Place Of Injury)PlaceOfInjury
...... entry:InjuryIncident I0..1Reference(Injury Incident)InjuryIncident
...... entry:Autopsy I0..1Reference(Autopsy Performed Indicator)AutopsyPerformedIndicator
...... entry:DeathDate I0..1Reference(Death Date)DeathDate
...... entry:SurgeryDate I0..1Reference(Surgery Date)SurgeryDate
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:DeathCertification I0..1BackboneElementDeathCertification
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DeathCertification
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry I0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Certifier I0..1Reference(Certifier)Certifier
...... entry:DeathCertification I0..1Reference(Death Certification Procedure)DeathCertification
...... entry:MannerOfDeath I0..1Reference(Manner of Death)MannerOfDeath
...... entry:CauseOfDeathPart1 I0..4Reference(Cause Of Death Part 1)CauseOfDeathPart1
...... entry:CauseOfDeathPart2 I0..1Reference(Cause of Death Part 2)CauseOfDeathPart2
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:DecedentDisposition I0..1BackboneElementDecedentDisposition
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DecedentDisposition
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry I0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:DispositionLocation I0..1Reference(Disposition Location)DispositionLocation
...... entry:FuneralHome I0..1Reference(Funeral Home)FuneralHome
...... entry:DispositionMethod I0..1Reference(Decedent Disposition Method)DispositionMethod
...... entry:Mortician I0..1Reference(US Core Practitioner Profile)Mortician
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:CodedContent I0..1BackboneElementCodedContent
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: CodedContent
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry I0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ActivityAtTimeOfDeath I0..1Reference(Activity at Time of Death)ActivityAtTimeOfDeath
...... entry:AutomatedUnderlyingCauseOfDeath I0..1Reference(Automated Underlying Cause Of Death)AutomatedUnderlyingCauseOfDeath
...... entry:ManualUnderlyingCauseOfDeath I0..1Reference(Manual Underlying Cause Of Death)ManualUnderlyingCauseOfDeath
...... entry:CodedRaceAndEthnicity I0..1Reference(Coded Race and Ethnicity)CodedRaceAndEthnicity
...... entry:EntityAxisCauseOfDeath I0..20Reference(Entity Axis Cause Of Death)EntityAxisCauseOfDeath
...... entry:RecordAxisCauseOfDeath I0..20Reference(Record Axis Cause Of Death)RecordAxisCauseOfDeath
...... entry:PlaceOfInjury I0..1Reference(Place Of Injury)PlaceOfInjury
...... entry:CodingStatusValues I0..1Reference(Coding Status Values)CodingStatusValues
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation

doco 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:

  • The element Composition.section is sliced based on the value of pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.resolve()

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... filingFormat 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
Binding: Filing Format ValueSet (required)
... replaceStatus 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
Binding: Replacement Status VS (required)
... status 1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type 1..1CodeableConceptKind of composition (LOINC if possible)
Required Pattern: At least the following
.... coding1..*CodingCode 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
... subject 1..1Reference(Decedent)Who and/or what the composition is about
... date 1..1dateTimeDate of Registration
... attester
.... mode 1..1codepersonal | professional | legal | official
Fixed Value: legal
.... party 0..1Reference(Certifier)Certifier.
... event 1..1BackboneElementThe clinical service(s) being documented
.... code 1..1CodeableConceptCode(s) that apply to the event being documented
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 103693007
.... detail 1..1Reference(Death Certification Procedure)The event(s) being documented
... Slices for section 0..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... code 1..1CodeableConceptClassification of section (recommended)
.... section:DecedentDemographics 0..1BackboneElementDecedentDemographics
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code1..1codeSymbol 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:$this.resolve()
...... entry:Decedent 1..1Reference(Decedent)Decedent
...... entry:Father 0..1Reference(Decedent Father)DecedentFather
...... entry:Mother 0..1Reference(Decedent Mother)DecedentMother
...... entry:Spouse 0..1Reference(Decedent Spouse)DecedentSpouse
...... entry:Age 0..1Reference(Decedent Age)DecedentAge
...... entry:BirthRecordID 0..1Reference(Birth Record Identifier)BirthRecordIdentifier
...... entry:EducationLevel 0..1Reference(Decedent Education Level)DecedentEducationLevel
...... entry:MilitaryService 0..1Reference(Decedent Military Service)DecedentMilitaryService
...... entry:UsualWork 0..1Reference(Decedent Usual Work)DecedentUsualWork
...... entry:EmergingIssues 0..1Reference(Emerging Issues)EmergingIssues
...... entry:InputRaceAndEthnicity 0..1Reference(Input Race and Ethnicity)InputRaceAndEthnicity
.... section:DeathInvestigation 0..1BackboneElementDeathInvestigation
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DeathInvestigation
..... Slices for entry 0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ExaminerContacted 0..1Reference(Examiner Contacted)ExaminerContacted
...... entry:PregnancyStatus 0..1Reference(Decedent Pregnancy Status)DecedentPregnancyStatus
...... entry:TobaccoUse 0..1Reference(Tobacco Use Contributed To Death)TobaccoUse
...... entry:DeathLocation 0..1Reference(Death Location)Death Location
...... entry:InjuryLocation 0..1Reference(Injury Location)Injury Location
...... entry:PlaceOfInjury 0..1Reference(Place Of Injury)PlaceOfInjury
...... entry:InjuryIncident 0..1Reference(Injury Incident)InjuryIncident
...... entry:Autopsy 0..1Reference(Autopsy Performed Indicator)AutopsyPerformedIndicator
...... entry:DeathDate 0..1Reference(Death Date)DeathDate
...... entry:SurgeryDate 0..1Reference(Surgery Date)SurgeryDate
.... section:DeathCertification 0..1BackboneElementDeathCertification
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code1..1codeSymbol 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:$this.resolve()
...... entry:Certifier 0..1Reference(Certifier)Certifier
...... entry:DeathCertification 0..1Reference(Death Certification Procedure)DeathCertification
...... entry:MannerOfDeath 0..1Reference(Manner of Death)MannerOfDeath
...... entry:CauseOfDeathPart1 0..4Reference(Cause Of Death Part 1)CauseOfDeathPart1
...... entry:CauseOfDeathPart2 0..1Reference(Cause of Death Part 2)CauseOfDeathPart2
.... section:DecedentDisposition 0..1BackboneElementDecedentDisposition
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DecedentDisposition
..... Slices for entry 0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:DispositionLocation 0..1Reference(Disposition Location)DispositionLocation
...... entry:FuneralHome 0..1Reference(Funeral Home)FuneralHome
...... entry:DispositionMethod 0..1Reference(Decedent Disposition Method)DispositionMethod
...... entry:Mortician 0..1Reference(US Core Practitioner Profile)Mortician
.... section:CodedContent 0..1BackboneElementCodedContent
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code1..1codeSymbol 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..1Reference(Activity at Time of Death)ActivityAtTimeOfDeath
...... entry:AutomatedUnderlyingCauseOfDeath 0..1Reference(Automated Underlying Cause Of Death)AutomatedUnderlyingCauseOfDeath
...... entry:ManualUnderlyingCauseOfDeath 0..1Reference(Manual Underlying Cause Of Death)ManualUnderlyingCauseOfDeath
...... entry:CodedRaceAndEthnicity 0..1Reference(Coded Race and Ethnicity)CodedRaceAndEthnicity
...... entry:EntityAxisCauseOfDeath 0..20Reference(Entity Axis Cause Of Death)EntityAxisCauseOfDeath
...... entry:RecordAxisCauseOfDeath 0..20Reference(Record Axis Cause Of Death)RecordAxisCauseOfDeath
...... entry:PlaceOfInjury 0..1Reference(Place Of Injury)PlaceOfInjury
...... entry:CodingStatusValues 0..1Reference(Coding Status Values)CodingStatusValues

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... 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
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... filingFormat 0..1CodeableConceptOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
Binding: Filing Format ValueSet (required)
... replaceStatus 0..1CodeableConceptOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
Binding: Replacement Status VS (required)
... stateSpecificField 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 64297-5
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(Decedent)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter)Context of the Composition
... date Σ1..1dateTimeDate of Registration
... author Σ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... 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
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Certifier)Certifier.
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/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 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ1..1BackboneElementThe clinical service(s) being documented
.... 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..1CodeableConceptCode(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
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 103693007
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ1..1Reference(Death Certification Procedure)The event(s) being documented
... Slices for section I0..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:DecedentDemographics I0..1BackboneElementDecedentDemographics
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DecedentDemographics
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry I1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Decedent I1..1Reference(Decedent)Decedent
...... entry:Father I0..1Reference(Decedent Father)DecedentFather
...... entry:Mother I0..1Reference(Decedent Mother)DecedentMother
...... entry:Spouse I0..1Reference(Decedent Spouse)DecedentSpouse
...... entry:Age I0..1Reference(Decedent Age)DecedentAge
...... entry:BirthRecordID I0..1Reference(Birth Record Identifier)BirthRecordIdentifier
...... entry:EducationLevel I0..1Reference(Decedent Education Level)DecedentEducationLevel
...... entry:MilitaryService I0..1Reference(Decedent Military Service)DecedentMilitaryService
...... entry:UsualWork I0..1Reference(Decedent Usual Work)DecedentUsualWork
...... entry:EmergingIssues I0..1Reference(Emerging Issues)EmergingIssues
...... entry:InputRaceAndEthnicity I0..1Reference(Input Race and Ethnicity)InputRaceAndEthnicity
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:DeathInvestigation I0..1BackboneElementDeathInvestigation
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DeathInvestigation
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry I0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ExaminerContacted I0..1Reference(Examiner Contacted)ExaminerContacted
...... entry:PregnancyStatus I0..1Reference(Decedent Pregnancy Status)DecedentPregnancyStatus
...... entry:TobaccoUse I0..1Reference(Tobacco Use Contributed To Death)TobaccoUse
...... entry:DeathLocation I0..1Reference(Death Location)Death Location
...... entry:InjuryLocation I0..1Reference(Injury Location)Injury Location
...... entry:PlaceOfInjury I0..1Reference(Place Of Injury)PlaceOfInjury
...... entry:InjuryIncident I0..1Reference(Injury Incident)InjuryIncident
...... entry:Autopsy I0..1Reference(Autopsy Performed Indicator)AutopsyPerformedIndicator
...... entry:DeathDate I0..1Reference(Death Date)DeathDate
...... entry:SurgeryDate I0..1Reference(Surgery Date)SurgeryDate
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:DeathCertification I0..1BackboneElementDeathCertification
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DeathCertification
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry I0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Certifier I0..1Reference(Certifier)Certifier
...... entry:DeathCertification I0..1Reference(Death Certification Procedure)DeathCertification
...... entry:MannerOfDeath I0..1Reference(Manner of Death)MannerOfDeath
...... entry:CauseOfDeathPart1 I0..4Reference(Cause Of Death Part 1)CauseOfDeathPart1
...... entry:CauseOfDeathPart2 I0..1Reference(Cause of Death Part 2)CauseOfDeathPart2
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:DecedentDisposition I0..1BackboneElementDecedentDisposition
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: DecedentDisposition
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry I0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:DispositionLocation I0..1Reference(Disposition Location)DispositionLocation
...... entry:FuneralHome I0..1Reference(Funeral Home)FuneralHome
...... entry:DispositionMethod I0..1Reference(Decedent Disposition Method)DispositionMethod
...... entry:Mortician I0..1Reference(US Core Practitioner Profile)Mortician
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:CodedContent I0..1BackboneElementCodedContent
..... 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
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: CodedContent
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry I0..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ActivityAtTimeOfDeath I0..1Reference(Activity at Time of Death)ActivityAtTimeOfDeath
...... entry:AutomatedUnderlyingCauseOfDeath I0..1Reference(Automated Underlying Cause Of Death)AutomatedUnderlyingCauseOfDeath
...... entry:ManualUnderlyingCauseOfDeath I0..1Reference(Manual Underlying Cause Of Death)ManualUnderlyingCauseOfDeath
...... entry:CodedRaceAndEthnicity I0..1Reference(Coded Race and Ethnicity)CodedRaceAndEthnicity
...... entry:EntityAxisCauseOfDeath I0..20Reference(Entity Axis Cause Of Death)EntityAxisCauseOfDeath
...... entry:RecordAxisCauseOfDeath I0..20Reference(Record Axis Cause Of Death)RecordAxisCauseOfDeath
...... entry:PlaceOfInjury I0..1Reference(Place Of Injury)PlaceOfInjury
...... entry:CodingStatusValues I0..1Reference(Coding Status Values)CodingStatusValues
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Composition.statusrequiredCompositionStatus
Composition.typepreferredPattern: LOINC code 64297-5
Composition.categoryexampleDocumentClassValueSet
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredFixed Value: legal
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexamplePattern: SNOMED CT code 103693007
Composition.section.codeexampleDocumentSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons
Composition.section:DecedentDemographics.codeexamplePattern: DecedentDemographics
Composition.section:DecedentDemographics.moderequiredListMode
Composition.section:DecedentDemographics.orderedBypreferredListOrderCodes
Composition.section:DecedentDemographics.emptyReasonpreferredListEmptyReasons
Composition.section:DeathInvestigation.codeexamplePattern: DeathInvestigation
Composition.section:DeathInvestigation.moderequiredListMode
Composition.section:DeathInvestigation.orderedBypreferredListOrderCodes
Composition.section:DeathInvestigation.emptyReasonpreferredListEmptyReasons
Composition.section:DeathCertification.codeexamplePattern: DeathCertification
Composition.section:DeathCertification.moderequiredListMode
Composition.section:DeathCertification.orderedBypreferredListOrderCodes
Composition.section:DeathCertification.emptyReasonpreferredListEmptyReasons
Composition.section:DecedentDisposition.codeexamplePattern: DecedentDisposition
Composition.section:DecedentDisposition.moderequiredListMode
Composition.section:DecedentDisposition.orderedBypreferredListOrderCodes
Composition.section:DecedentDisposition.emptyReasonpreferredListEmptyReasons
Composition.section:CodedContent.codeexamplePattern: CodedContent
Composition.section:CodedContent.moderequiredListMode
Composition.section:CodedContent.orderedBypreferredListOrderCodes
Composition.section:CodedContent.emptyReasonpreferredListEmptyReasons