Observation - Death Date - Medicolegal Death Investigation (MDI) v1.1.0

Medicolegal Death Investigation (MDI)
1.1.0 - STU 1.1 United States of America flag

This page is part of the Medicolegal Death Investigation (MDI) (v1.1.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Observation - Death Date

Official URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-death-date				Version: 1.1.0
Active as of 2023-11-16				Computable Name: ObservationDeathDate

This Observation provides the death date and date pronounced dead. If the actual date of death is known, set value to type dateTime. If the date of death is not known, and a range is known, set value to type Period. The MDI Observation - Death Date artifact overlaps with the VRDR Death Date artifact.

Usage:

Refer to this Resource Profile: Composition - MDI and EDRS
Examples for this Resource Profile: Observation/observation-death-date-a-freeman, Observation/observation-death-date-partialdate and Observation/observation-death-date-period

Formal Views of Profile Content

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

Differential Table
Key Elements Table
Snapshot Table
Statistics/References
All

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
status	S	1..1	code	registered \| preliminary \| final \| amended +
code	S	1..1	CodeableConcept	Date+time of death 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: 81956-5
subject	S	1..1	Reference(US Core Patient Profile)	The decedent
performer	S	0..1	Reference(US Core Practitioner Profile)	Death certifier
value[x]		0..1		Date/Time of Death
value[x]:All Types				Content/Rules for all Types
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
partialDateTime		0..1	(Complex)	The expectation is to send a value in addition to the extension, whenever possible. Use a data absent reason for anything not known. URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDateTime
valueDateTime			dateTime
valuePeriod			Period
note	S	0..1	Annotation	Notes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade
method	S	0..1	CodeableConcept	Codes that describe the approach to establishing a date. Binding: ValueSet - Date Establishment Approach (extensible): ValueSetDateEstablishmentApproach
Slices for component		0..*	BackboneElement	Component results Slice: Unordered, Open by value:code
component:datetimePronouncedDead		0..1	BackboneElement	Date/Time Pronounced Dead
code		1..1	CodeableConcept	Type of component observation (code / type) 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: 80616-6
value[x]		1..1		Actual component result
valueTime			time
valueDateTime			dateTime
component:placeOfDeath		0..1	BackboneElement	Place of Death
code		1..1	CodeableConcept	Type of component observation (code / type) 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: 58332-8
value[x]		1..1	CodeableConcept	Actual component result Binding: ValueSet - Place of Death (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.method	extensible	ValueSetDateEstablishmentApproach
Observation.component:placeOfDeath.value[x]	required	ValueSetPlaceOfDeath

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣ	1..1	CodeableConcept	Date+time of death Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 81956-5
subject	SΣ	1..1	Reference(US Core Patient Profile)	The decedent
performer	SΣ	0..1	Reference(US Core Practitioner Profile)	Death certifier
value[x]	ΣC	0..1		Date/Time of Death
value[x]:All Types				Content/Rules for all Types
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
partialDateTime		0..1	(Complex)	The expectation is to send a value in addition to the extension, whenever possible. Use a data absent reason for anything not known. URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDateTime
valueDateTime			dateTime
valuePeriod			Period
note	S	0..1	Annotation	Notes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade
method	S	0..1	CodeableConcept	Codes that describe the approach to establishing a date. Binding: ValueSet - Date Establishment Approach (extensible): ValueSetDateEstablishmentApproach
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:datetimePronouncedDead	Σ	0..1	BackboneElement	Date/Time Pronounced Dead
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 80616-6
value[x]	Σ	1..1		Actual component result
valueTime			time
valueDateTime			dateTime
component:placeOfDeath	Σ	0..1	BackboneElement	Place of Death
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 58332-8
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: ValueSet - Place of Death (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.status	required	ObservationStatus
Observation.code	example	Pattern: LOINC code 81956-5
Observation.method	extensible	ValueSetDateEstablishmentApproach
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:datetimePronouncedDead.code	example	Pattern: LOINC code 80616-6
Observation.component:placeOfDeath.code	example	Pattern: LOINC code 58332-8
Observation.component:placeOfDeath.value[x]	required	ValueSetPlaceOfDeath

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()