Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0 - STU3 United States of America flag

This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v3.0.0: STU3) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. 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: 3.0.0
Active as of 2024-10-16 Computable Name: DeathCertificate
Other Identifiers: OID:2.16.840.1.113883.4.642.40.10.42.20

The body of the death certificate document (Composition).

The Death Certificate profile is a composition referencing the core content of a death registration transmitted in the associated DeathCertificateDocument Bundle.

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 should referenced in the Death Certificate based on standard resources and profiles. At present, standard USCore profiles can be used, and these are not cited in this Implementation Guide. For example:

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

The content is broken down into the following sections:

Note: For NCHS submissions the replacement record status (REPLACE) has been deprecated within the VRDR IG, and this field be ignored. The replacement status of a submission is now specified as a message parameter and described in the NCHS Vital Records Messaging IG.

IJE Mapping

Mortality (Decedent)
Use Case # Description IJE Name Field Type Value Set/Comments
Mortality 6 Source flag: paper/electronic MFILED extension[filingFormat] codeable FilingFormatVS
Mortality 96 Date of Registration--Year DOR_YR date dateTime -
Mortality 97 Date of Registration--Month DOR_MO date dateTime -
Mortality 98 Date of Registration--Day DOR_DY date dateTime -
Mortality 122 State Specific Data STATESP extension[stateSpecificField] string(30) -
Mortality 184 Replacement Record REPLACE (*deprecated*) extension[replaceStatus] codeable ReplaceStatusVS

Form Mapping

Form Mapping
Item # Form Field FHIR Profile Field Reference
50 For Registrar Only-Date Filed date Certificate of Death

Usage:

Changes since version true:

  • No changes

    • Formal Views of Profile Content

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

    This structure is derived from Composition

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Composition Composition
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... filingFormat 0..1 CodeableConcept Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... stateSpecificField 0..1 string State Specific Field
    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
    ... date 1..1 dateTime Date of Registration
    ... attester
    .... mode 1..1 code personal | professional | legal | official
    Fixed Value: legal
    .... party 0..1 Reference(Practitioner - Vital Records) Certifier.
    ... event 1..1 BackboneElement The clinical service(s) being documented
    .... code 1..1 CodeableConcept Code(s) that apply to the event being documented
    Binding: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding
    .... 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:$this.resolve()
    ...... entry:Decedent 1..1 Reference(Decedent) Decedent
    ...... entry:Father 0..1 Reference(Decedent Father) DecedentFather
    ...... entry:Mother 0..1 Reference(Decedent Mother) DecedentMother
    ...... entry:Spouse 0..1 Reference(Decedent Spouse) DecedentSpouse
    ...... entry:Age 0..1 Reference(Decedent Age) DecedentAge
    ...... entry:BirthRecordID 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
    ...... entry:FetalDeathRecordID 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
    ...... entry:BirthRecordIDChild 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
    ...... entry:EducationLevel 0..1 Reference(Decedent Education Level) DecedentEducationLevel
    ...... entry:MilitaryService 0..1 Reference(Decedent Military Service) DecedentMilitaryService
    ...... entry:UsualWork 0..1 Reference(Decedent Usual Work) DecedentUsualWork
    ...... entry:EmergingIssues 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
    ...... entry:InputRaceAndEthnicity 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
    .... section:DeathInvestigation 0..1 BackboneElement DeathInvestigation
    ..... code 0..1 CodeableConcept Classification of section (recommended)
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: DeathInvestigation
    ..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ExaminerContacted 0..1 Reference(Examiner Contacted) ExaminerContacted
    ...... entry:PregnancyStatus 0..1 Reference(Decedent Pregnancy) 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: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:$this.resolve()
    ...... entry:Certifier 0..1 Reference(Practitioner - Vital Records) Certifier
    ...... entry:DeathCertification 0..1 Reference(Death Certification Procedure) DeathCertification
    ...... entry:MannerOfDeath 0..1 Reference(Manner of Death) MannerOfDeath
    ...... entry:CauseOfDeathPart1 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
    ...... entry:CauseOfDeathPart2 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
    .... section:DecedentDisposition 0..1 BackboneElement DecedentDisposition
    ..... code 0..1 CodeableConcept Classification of section (recommended)
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: DecedentDisposition
    ..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$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(Mortician) 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(Observation - Coded Race and Ethnicity Vital Records) 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

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status
    from the FHIR Standard
    Composition.event.codepreferredDeathCertificationEventVS
    Additional Bindings Purpose
    Event Code for Death Certificate Composition - Max Max Binding
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... filingFormat 0..1 CodeableConcept Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... stateSpecificField 0..1 string State Specific Field
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
    Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


    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 Σ 1..1 Reference(Decedent) Who and/or what the composition is about
    ... 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
    ... event Σ 1..1 BackboneElement The clinical service(s) being documented
    .... 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: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding

    .... detail Σ 1..1 Reference(Death Certification Procedure) The event(s) being documented
    ... Slices for section C 0..* BackboneElement Composition is broken into sections
    Slice: Unordered, Open by pattern:code
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    .... section:All Slices Content/Rules for all slices
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

    .... section:DecedentDemographics C 0..1 BackboneElement DecedentDemographics
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... 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
    ...... 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 C 1..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:Decedent C 1..1 Reference(Decedent) Decedent
    ...... entry:Father C 0..1 Reference(Decedent Father) DecedentFather
    ...... entry:Mother C 0..1 Reference(Decedent Mother) DecedentMother
    ...... entry:Spouse C 0..1 Reference(Decedent Spouse) DecedentSpouse
    ...... entry:Age C 0..1 Reference(Decedent Age) DecedentAge
    ...... entry:BirthRecordID C 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
    ...... entry:FetalDeathRecordID C 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
    ...... entry:BirthRecordIDChild C 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
    ...... entry:EducationLevel C 0..1 Reference(Decedent Education Level) DecedentEducationLevel
    ...... entry:MilitaryService C 0..1 Reference(Decedent Military Service) DecedentMilitaryService
    ...... entry:UsualWork C 0..1 Reference(Decedent Usual Work) DecedentUsualWork
    ...... entry:EmergingIssues C 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
    ...... entry:InputRaceAndEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
    .... section:DeathInvestigation C 0..1 BackboneElement DeathInvestigation
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... 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
    ...... 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ExaminerContacted C 0..1 Reference(Examiner Contacted) ExaminerContacted
    ...... entry:PregnancyStatus C 0..1 Reference(Decedent Pregnancy) DecedentPregnancyStatus
    ...... entry:TobaccoUse C 0..1 Reference(Tobacco Use Contributed To Death) TobaccoUse
    ...... entry:DeathLocation C 0..1 Reference(Death Location) Death Location
    ...... entry:InjuryLocation C 0..1 Reference(Injury Location) Injury Location
    ...... entry:InjuryIncident C 0..1 Reference(Injury Incident) InjuryIncident
    ...... entry:Autopsy C 0..1 Reference(Autopsy Performed Indicator) AutopsyPerformedIndicator
    ...... entry:DeathDate C 0..1 Reference(Death Date) DeathDate
    ...... entry:SurgeryDate C 0..1 Reference(Surgery Date) SurgeryDate
    .... section:DeathCertification C 0..1 BackboneElement DeathCertification
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... 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
    ...... 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:Certifier C 0..1 Reference(Practitioner - Vital Records) Certifier
    ...... entry:DeathCertification C 0..1 Reference(Death Certification Procedure) DeathCertification
    ...... entry:MannerOfDeath C 0..1 Reference(Manner of Death) MannerOfDeath
    ...... entry:CauseOfDeathPart1 C 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
    ...... entry:CauseOfDeathPart2 C 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
    .... section:DecedentDisposition C 0..1 BackboneElement DecedentDisposition
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... 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
    ...... 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:DispositionLocation C 0..1 Reference(Disposition Location) DispositionLocation
    ...... entry:FuneralHome C 0..1 Reference(Funeral Home) FuneralHome
    ...... entry:DispositionMethod C 0..1 Reference(Decedent Disposition Method) DispositionMethod
    ...... entry:Mortician C 0..1 Reference(Mortician) Mortician
    .... section:CodedContent C 0..1 BackboneElement CodedContent
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... 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
    ...... 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ActivityAtTimeOfDeath C 0..1 Reference(Activity at Time of Death) ActivityAtTimeOfDeath
    ...... entry:AutomatedUnderlyingCauseOfDeath C 0..1 Reference(Automated Underlying Cause Of Death) AutomatedUnderlyingCauseOfDeath
    ...... entry:ManualUnderlyingCauseOfDeath C 0..1 Reference(Manual Underlying Cause Of Death) ManualUnderlyingCauseOfDeath
    ...... entry:CodedRaceAndEthnicity C 0..1 Reference(Observation - Coded Race and Ethnicity Vital Records) CodedRaceAndEthnicity
    ...... entry:EntityAxisCauseOfDeath C 0..20 Reference(Entity Axis Cause Of Death) EntityAxisCauseOfDeath
    ...... entry:RecordAxisCauseOfDeath C 0..20 Reference(Record Axis Cause Of Death) RecordAxisCauseOfDeath
    ...... entry:PlaceOfInjury C 0..1 Reference(Place Of Injury) PlaceOfInjury
    ...... entry:CodingStatusValues C 0..1 Reference(Coding Status Values) CodingStatusValues

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status
    from the FHIR Standard
    Composition.typepreferredPattern: LOINC Code 64297-5
    http://hl7.org/fhir/ValueSet/doc-typecodes
    from the FHIR Standard
    Composition.event.codepreferredDeathCertificationEventVS
    Additional Bindings Purpose
    Event Code for Death Certificate Composition - Max Max Binding
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs
    from this IG
    Composition.section.codeexampleDocumentSectionCodes
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DecedentDemographics.codeexamplePattern: DecedentDemographics
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DeathInvestigation.codeexamplePattern: DeathInvestigation
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DeathCertification.codeexamplePattern: DeathCertification
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DecedentDisposition.codeexamplePattern: DecedentDisposition
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:CodedContent.codeexamplePattern: CodedContent
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    ... id Σ 0..1 id 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
    ... 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 Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... stateSpecificField 0..1 string State Specific Field
    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(Practitioner - Vital Records) 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: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding

    .... 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 C 0..* BackboneElement Composition is broken into sections
    Slice: Unordered, Open by pattern:code
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    .... 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 C 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 C 0..* Reference(Resource) A reference to data that supports this section
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section
    .... section:DecedentDemographics C 0..1 BackboneElement DecedentDemographics
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... 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 C 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 C 1..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:Decedent C 1..1 Reference(Decedent) Decedent
    ...... entry:Father C 0..1 Reference(Decedent Father) DecedentFather
    ...... entry:Mother C 0..1 Reference(Decedent Mother) DecedentMother
    ...... entry:Spouse C 0..1 Reference(Decedent Spouse) DecedentSpouse
    ...... entry:Age C 0..1 Reference(Decedent Age) DecedentAge
    ...... entry:BirthRecordID C 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
    ...... entry:FetalDeathRecordID C 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
    ...... entry:BirthRecordIDChild C 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
    ...... entry:EducationLevel C 0..1 Reference(Decedent Education Level) DecedentEducationLevel
    ...... entry:MilitaryService C 0..1 Reference(Decedent Military Service) DecedentMilitaryService
    ...... entry:UsualWork C 0..1 Reference(Decedent Usual Work) DecedentUsualWork
    ...... entry:EmergingIssues C 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
    ...... entry:InputRaceAndEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section
    .... section:DeathInvestigation C 0..1 BackboneElement DeathInvestigation
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... 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 C 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ExaminerContacted C 0..1 Reference(Examiner Contacted) ExaminerContacted
    ...... entry:PregnancyStatus C 0..1 Reference(Decedent Pregnancy) DecedentPregnancyStatus
    ...... entry:TobaccoUse C 0..1 Reference(Tobacco Use Contributed To Death) TobaccoUse
    ...... entry:DeathLocation C 0..1 Reference(Death Location) Death Location
    ...... entry:InjuryLocation C 0..1 Reference(Injury Location) Injury Location
    ...... entry:InjuryIncident C 0..1 Reference(Injury Incident) InjuryIncident
    ...... entry:Autopsy C 0..1 Reference(Autopsy Performed Indicator) AutopsyPerformedIndicator
    ...... entry:DeathDate C 0..1 Reference(Death Date) DeathDate
    ...... entry:SurgeryDate C 0..1 Reference(Surgery Date) SurgeryDate
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section
    .... section:DeathCertification C 0..1 BackboneElement DeathCertification
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... 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 C 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:Certifier C 0..1 Reference(Practitioner - Vital Records) Certifier
    ...... entry:DeathCertification C 0..1 Reference(Death Certification Procedure) DeathCertification
    ...... entry:MannerOfDeath C 0..1 Reference(Manner of Death) MannerOfDeath
    ...... entry:CauseOfDeathPart1 C 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
    ...... entry:CauseOfDeathPart2 C 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section
    .... section:DecedentDisposition C 0..1 BackboneElement DecedentDisposition
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... 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 C 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:DispositionLocation C 0..1 Reference(Disposition Location) DispositionLocation
    ...... entry:FuneralHome C 0..1 Reference(Funeral Home) FuneralHome
    ...... entry:DispositionMethod C 0..1 Reference(Decedent Disposition Method) DispositionMethod
    ...... entry:Mortician C 0..1 Reference(Mortician) Mortician
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section
    .... section:CodedContent C 0..1 BackboneElement CodedContent
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... 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 C 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ActivityAtTimeOfDeath C 0..1 Reference(Activity at Time of Death) ActivityAtTimeOfDeath
    ...... entry:AutomatedUnderlyingCauseOfDeath C 0..1 Reference(Automated Underlying Cause Of Death) AutomatedUnderlyingCauseOfDeath
    ...... entry:ManualUnderlyingCauseOfDeath C 0..1 Reference(Manual Underlying Cause Of Death) ManualUnderlyingCauseOfDeath
    ...... entry:CodedRaceAndEthnicity C 0..1 Reference(Observation - Coded Race and Ethnicity Vital Records) CodedRaceAndEthnicity
    ...... entry:EntityAxisCauseOfDeath C 0..20 Reference(Entity Axis Cause Of Death) EntityAxisCauseOfDeath
    ...... entry:RecordAxisCauseOfDeath C 0..20 Reference(Record Axis Cause Of Death) RecordAxisCauseOfDeath
    ...... entry:PlaceOfInjury C 0..1 Reference(Place Of Injury) PlaceOfInjury
    ...... entry:CodingStatusValues C 0..1 Reference(Coding Status Values) CodingStatusValues
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Composition.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status
    from the FHIR Standard
    Composition.typepreferredPattern: LOINC Code 64297-5
    http://hl7.org/fhir/ValueSet/doc-typecodes
    from the FHIR Standard
    Composition.categoryexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes
    from the FHIR Standard
    Composition.confidentialityrequiredv3.ConfidentialityClassification
    http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
    from the FHIR Standard
    Composition.attester.moderequiredFixed Value: legal
    http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
    from the FHIR Standard
    Composition.relatesTo.coderequiredDocumentRelationshipType
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    from the FHIR Standard
    Composition.event.codepreferredDeathCertificationEventVS
    Additional Bindings Purpose
    Event Code for Death Certificate Composition - Max Max Binding
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs
    from this IG
    Composition.section.codeexampleDocumentSectionCodes
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard
    Composition.section:DecedentDemographics.codeexamplePattern: DecedentDemographics
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DecedentDemographics.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section:DecedentDemographics.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section:DecedentDemographics.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard
    Composition.section:DeathInvestigation.codeexamplePattern: DeathInvestigation
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DeathInvestigation.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section:DeathInvestigation.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section:DeathInvestigation.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard
    Composition.section:DeathCertification.codeexamplePattern: DeathCertification
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DeathCertification.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section:DeathCertification.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section:DeathCertification.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard
    Composition.section:DecedentDisposition.codeexamplePattern: DecedentDisposition
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DecedentDisposition.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section:DecedentDisposition.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section:DecedentDisposition.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard
    Composition.section:CodedContent.codeexamplePattern: CodedContent
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:CodedContent.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section:CodedContent.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section:CodedContent.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard

    This structure is derived from Composition

    Summary

    Mandatory: 4 elements(3 nested mandatory elements)
    Fixed: 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 1 is sliced based on the value of Composition.section
    • The element 1 is sliced based on the value of Composition.section.entry

    Differential View

    This structure is derived from Composition

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Composition Composition
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... filingFormat 0..1 CodeableConcept Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... stateSpecificField 0..1 string State Specific Field
    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
    ... date 1..1 dateTime Date of Registration
    ... attester
    .... mode 1..1 code personal | professional | legal | official
    Fixed Value: legal
    .... party 0..1 Reference(Practitioner - Vital Records) Certifier.
    ... event 1..1 BackboneElement The clinical service(s) being documented
    .... code 1..1 CodeableConcept Code(s) that apply to the event being documented
    Binding: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding
    .... 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:$this.resolve()
    ...... entry:Decedent 1..1 Reference(Decedent) Decedent
    ...... entry:Father 0..1 Reference(Decedent Father) DecedentFather
    ...... entry:Mother 0..1 Reference(Decedent Mother) DecedentMother
    ...... entry:Spouse 0..1 Reference(Decedent Spouse) DecedentSpouse
    ...... entry:Age 0..1 Reference(Decedent Age) DecedentAge
    ...... entry:BirthRecordID 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
    ...... entry:FetalDeathRecordID 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
    ...... entry:BirthRecordIDChild 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
    ...... entry:EducationLevel 0..1 Reference(Decedent Education Level) DecedentEducationLevel
    ...... entry:MilitaryService 0..1 Reference(Decedent Military Service) DecedentMilitaryService
    ...... entry:UsualWork 0..1 Reference(Decedent Usual Work) DecedentUsualWork
    ...... entry:EmergingIssues 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
    ...... entry:InputRaceAndEthnicity 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
    .... section:DeathInvestigation 0..1 BackboneElement DeathInvestigation
    ..... code 0..1 CodeableConcept Classification of section (recommended)
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: DeathInvestigation
    ..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ExaminerContacted 0..1 Reference(Examiner Contacted) ExaminerContacted
    ...... entry:PregnancyStatus 0..1 Reference(Decedent Pregnancy) 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: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:$this.resolve()
    ...... entry:Certifier 0..1 Reference(Practitioner - Vital Records) Certifier
    ...... entry:DeathCertification 0..1 Reference(Death Certification Procedure) DeathCertification
    ...... entry:MannerOfDeath 0..1 Reference(Manner of Death) MannerOfDeath
    ...... entry:CauseOfDeathPart1 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
    ...... entry:CauseOfDeathPart2 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
    .... section:DecedentDisposition 0..1 BackboneElement DecedentDisposition
    ..... code 0..1 CodeableConcept Classification of section (recommended)
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: DecedentDisposition
    ..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$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(Mortician) 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(Observation - Coded Race and Ethnicity Vital Records) 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

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status
    from the FHIR Standard
    Composition.event.codepreferredDeathCertificationEventVS
    Additional Bindings Purpose
    Event Code for Death Certificate Composition - Max Max Binding
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs
    from this IG

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... filingFormat 0..1 CodeableConcept Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... stateSpecificField 0..1 string State Specific Field
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
    Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


    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 Σ 1..1 Reference(Decedent) Who and/or what the composition is about
    ... 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
    ... event Σ 1..1 BackboneElement The clinical service(s) being documented
    .... 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: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding

    .... detail Σ 1..1 Reference(Death Certification Procedure) The event(s) being documented
    ... Slices for section C 0..* BackboneElement Composition is broken into sections
    Slice: Unordered, Open by pattern:code
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    .... section:All Slices Content/Rules for all slices
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

    .... section:DecedentDemographics C 0..1 BackboneElement DecedentDemographics
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... 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
    ...... 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 C 1..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:Decedent C 1..1 Reference(Decedent) Decedent
    ...... entry:Father C 0..1 Reference(Decedent Father) DecedentFather
    ...... entry:Mother C 0..1 Reference(Decedent Mother) DecedentMother
    ...... entry:Spouse C 0..1 Reference(Decedent Spouse) DecedentSpouse
    ...... entry:Age C 0..1 Reference(Decedent Age) DecedentAge
    ...... entry:BirthRecordID C 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
    ...... entry:FetalDeathRecordID C 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
    ...... entry:BirthRecordIDChild C 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
    ...... entry:EducationLevel C 0..1 Reference(Decedent Education Level) DecedentEducationLevel
    ...... entry:MilitaryService C 0..1 Reference(Decedent Military Service) DecedentMilitaryService
    ...... entry:UsualWork C 0..1 Reference(Decedent Usual Work) DecedentUsualWork
    ...... entry:EmergingIssues C 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
    ...... entry:InputRaceAndEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
    .... section:DeathInvestigation C 0..1 BackboneElement DeathInvestigation
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... 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
    ...... 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ExaminerContacted C 0..1 Reference(Examiner Contacted) ExaminerContacted
    ...... entry:PregnancyStatus C 0..1 Reference(Decedent Pregnancy) DecedentPregnancyStatus
    ...... entry:TobaccoUse C 0..1 Reference(Tobacco Use Contributed To Death) TobaccoUse
    ...... entry:DeathLocation C 0..1 Reference(Death Location) Death Location
    ...... entry:InjuryLocation C 0..1 Reference(Injury Location) Injury Location
    ...... entry:InjuryIncident C 0..1 Reference(Injury Incident) InjuryIncident
    ...... entry:Autopsy C 0..1 Reference(Autopsy Performed Indicator) AutopsyPerformedIndicator
    ...... entry:DeathDate C 0..1 Reference(Death Date) DeathDate
    ...... entry:SurgeryDate C 0..1 Reference(Surgery Date) SurgeryDate
    .... section:DeathCertification C 0..1 BackboneElement DeathCertification
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... 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
    ...... 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:Certifier C 0..1 Reference(Practitioner - Vital Records) Certifier
    ...... entry:DeathCertification C 0..1 Reference(Death Certification Procedure) DeathCertification
    ...... entry:MannerOfDeath C 0..1 Reference(Manner of Death) MannerOfDeath
    ...... entry:CauseOfDeathPart1 C 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
    ...... entry:CauseOfDeathPart2 C 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
    .... section:DecedentDisposition C 0..1 BackboneElement DecedentDisposition
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... 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
    ...... 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:DispositionLocation C 0..1 Reference(Disposition Location) DispositionLocation
    ...... entry:FuneralHome C 0..1 Reference(Funeral Home) FuneralHome
    ...... entry:DispositionMethod C 0..1 Reference(Decedent Disposition Method) DispositionMethod
    ...... entry:Mortician C 0..1 Reference(Mortician) Mortician
    .... section:CodedContent C 0..1 BackboneElement CodedContent
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... 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
    ...... 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ActivityAtTimeOfDeath C 0..1 Reference(Activity at Time of Death) ActivityAtTimeOfDeath
    ...... entry:AutomatedUnderlyingCauseOfDeath C 0..1 Reference(Automated Underlying Cause Of Death) AutomatedUnderlyingCauseOfDeath
    ...... entry:ManualUnderlyingCauseOfDeath C 0..1 Reference(Manual Underlying Cause Of Death) ManualUnderlyingCauseOfDeath
    ...... entry:CodedRaceAndEthnicity C 0..1 Reference(Observation - Coded Race and Ethnicity Vital Records) CodedRaceAndEthnicity
    ...... entry:EntityAxisCauseOfDeath C 0..20 Reference(Entity Axis Cause Of Death) EntityAxisCauseOfDeath
    ...... entry:RecordAxisCauseOfDeath C 0..20 Reference(Record Axis Cause Of Death) RecordAxisCauseOfDeath
    ...... entry:PlaceOfInjury C 0..1 Reference(Place Of Injury) PlaceOfInjury
    ...... entry:CodingStatusValues C 0..1 Reference(Coding Status Values) CodingStatusValues

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status
    from the FHIR Standard
    Composition.typepreferredPattern: LOINC Code 64297-5
    http://hl7.org/fhir/ValueSet/doc-typecodes
    from the FHIR Standard
    Composition.event.codepreferredDeathCertificationEventVS
    Additional Bindings Purpose
    Event Code for Death Certificate Composition - Max Max Binding
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs
    from this IG
    Composition.section.codeexampleDocumentSectionCodes
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DecedentDemographics.codeexamplePattern: DecedentDemographics
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DeathInvestigation.codeexamplePattern: DeathInvestigation
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DeathCertification.codeexamplePattern: DeathCertification
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DecedentDisposition.codeexamplePattern: DecedentDisposition
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:CodedContent.codeexamplePattern: CodedContent
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    ... id Σ 0..1 id 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
    ... 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 Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... stateSpecificField 0..1 string State Specific Field
    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(Practitioner - Vital Records) 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: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding

    .... 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 C 0..* BackboneElement Composition is broken into sections
    Slice: Unordered, Open by pattern:code
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    .... 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 C 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 C 0..* Reference(Resource) A reference to data that supports this section
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section
    .... section:DecedentDemographics C 0..1 BackboneElement DecedentDemographics
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... 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 C 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 C 1..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:Decedent C 1..1 Reference(Decedent) Decedent
    ...... entry:Father C 0..1 Reference(Decedent Father) DecedentFather
    ...... entry:Mother C 0..1 Reference(Decedent Mother) DecedentMother
    ...... entry:Spouse C 0..1 Reference(Decedent Spouse) DecedentSpouse
    ...... entry:Age C 0..1 Reference(Decedent Age) DecedentAge
    ...... entry:BirthRecordID C 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
    ...... entry:FetalDeathRecordID C 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
    ...... entry:BirthRecordIDChild C 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
    ...... entry:EducationLevel C 0..1 Reference(Decedent Education Level) DecedentEducationLevel
    ...... entry:MilitaryService C 0..1 Reference(Decedent Military Service) DecedentMilitaryService
    ...... entry:UsualWork C 0..1 Reference(Decedent Usual Work) DecedentUsualWork
    ...... entry:EmergingIssues C 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
    ...... entry:InputRaceAndEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section
    .... section:DeathInvestigation C 0..1 BackboneElement DeathInvestigation
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... 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 C 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ExaminerContacted C 0..1 Reference(Examiner Contacted) ExaminerContacted
    ...... entry:PregnancyStatus C 0..1 Reference(Decedent Pregnancy) DecedentPregnancyStatus
    ...... entry:TobaccoUse C 0..1 Reference(Tobacco Use Contributed To Death) TobaccoUse
    ...... entry:DeathLocation C 0..1 Reference(Death Location) Death Location
    ...... entry:InjuryLocation C 0..1 Reference(Injury Location) Injury Location
    ...... entry:InjuryIncident C 0..1 Reference(Injury Incident) InjuryIncident
    ...... entry:Autopsy C 0..1 Reference(Autopsy Performed Indicator) AutopsyPerformedIndicator
    ...... entry:DeathDate C 0..1 Reference(Death Date) DeathDate
    ...... entry:SurgeryDate C 0..1 Reference(Surgery Date) SurgeryDate
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section
    .... section:DeathCertification C 0..1 BackboneElement DeathCertification
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... 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 C 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:Certifier C 0..1 Reference(Practitioner - Vital Records) Certifier
    ...... entry:DeathCertification C 0..1 Reference(Death Certification Procedure) DeathCertification
    ...... entry:MannerOfDeath C 0..1 Reference(Manner of Death) MannerOfDeath
    ...... entry:CauseOfDeathPart1 C 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
    ...... entry:CauseOfDeathPart2 C 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section
    .... section:DecedentDisposition C 0..1 BackboneElement DecedentDisposition
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... 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 C 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:DispositionLocation C 0..1 Reference(Disposition Location) DispositionLocation
    ...... entry:FuneralHome C 0..1 Reference(Funeral Home) FuneralHome
    ...... entry:DispositionMethod C 0..1 Reference(Decedent Disposition Method) DispositionMethod
    ...... entry:Mortician C 0..1 Reference(Mortician) Mortician
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section
    .... section:CodedContent C 0..1 BackboneElement CodedContent
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ..... 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 C 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 C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ActivityAtTimeOfDeath C 0..1 Reference(Activity at Time of Death) ActivityAtTimeOfDeath
    ...... entry:AutomatedUnderlyingCauseOfDeath C 0..1 Reference(Automated Underlying Cause Of Death) AutomatedUnderlyingCauseOfDeath
    ...... entry:ManualUnderlyingCauseOfDeath C 0..1 Reference(Manual Underlying Cause Of Death) ManualUnderlyingCauseOfDeath
    ...... entry:CodedRaceAndEthnicity C 0..1 Reference(Observation - Coded Race and Ethnicity Vital Records) CodedRaceAndEthnicity
    ...... entry:EntityAxisCauseOfDeath C 0..20 Reference(Entity Axis Cause Of Death) EntityAxisCauseOfDeath
    ...... entry:RecordAxisCauseOfDeath C 0..20 Reference(Record Axis Cause Of Death) RecordAxisCauseOfDeath
    ...... entry:PlaceOfInjury C 0..1 Reference(Place Of Injury) PlaceOfInjury
    ...... entry:CodingStatusValues C 0..1 Reference(Coding Status Values) CodingStatusValues
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

    ..... section C 0..* See section (Composition) Nested Section

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Composition.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status
    from the FHIR Standard
    Composition.typepreferredPattern: LOINC Code 64297-5
    http://hl7.org/fhir/ValueSet/doc-typecodes
    from the FHIR Standard
    Composition.categoryexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes
    from the FHIR Standard
    Composition.confidentialityrequiredv3.ConfidentialityClassification
    http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
    from the FHIR Standard
    Composition.attester.moderequiredFixed Value: legal
    http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
    from the FHIR Standard
    Composition.relatesTo.coderequiredDocumentRelationshipType
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    from the FHIR Standard
    Composition.event.codepreferredDeathCertificationEventVS
    Additional Bindings Purpose
    Event Code for Death Certificate Composition - Max Max Binding
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs
    from this IG
    Composition.section.codeexampleDocumentSectionCodes
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard
    Composition.section:DecedentDemographics.codeexamplePattern: DecedentDemographics
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DecedentDemographics.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section:DecedentDemographics.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section:DecedentDemographics.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard
    Composition.section:DeathInvestigation.codeexamplePattern: DeathInvestigation
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DeathInvestigation.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section:DeathInvestigation.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section:DeathInvestigation.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard
    Composition.section:DeathCertification.codeexamplePattern: DeathCertification
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DeathCertification.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section:DeathCertification.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section:DeathCertification.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard
    Composition.section:DecedentDisposition.codeexamplePattern: DecedentDisposition
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:DecedentDisposition.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section:DecedentDisposition.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section:DecedentDisposition.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard
    Composition.section:CodedContent.codeexamplePattern: CodedContent
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard
    Composition.section:CodedContent.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    from the FHIR Standard
    Composition.section:CodedContent.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order
    from the FHIR Standard
    Composition.section:CodedContent.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason
    from the FHIR Standard

    This structure is derived from Composition

    Summary

    Mandatory: 4 elements(3 nested mandatory elements)
    Fixed: 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 1 is sliced based on the value of Composition.section
    • The element 1 is sliced based on the value of Composition.section.entry

     

    Other representations of profile: CSV, Excel, Schematron