Vital Records Common Library (VRCL) STU2-ballot
2.0.0-ballot - ballot United States of America flag

This page is part of the Vital Records Common Profile Library (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: Observation - Education Level Vital Records

Official URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr Version: 2.0.0-ballot
Draft as of 2023-12-16 Computable Name: ObservationEducationLevelVitalRecords

The highest degree or level of schooling completed by the decedent or parent. This profile is designed to supplant similar profile in VRDR

IJE Mapping

Natality
Use Case # Description IJE Name Field Type Value Set/Comments
Natality 32 Mother's Education MEDUC value,
code=57712-2 (Highest level of education Mother)
codeable ValueSetEducationLevelVitalRecords
Natality 33 Mother's Education--Edit Flag MEDUC_BYPASS value.extension[bypassEditFlag].value,
code=57712-2 (Highest level of education Mother)
codeable ValueSetEditBypass01234VitalRecords,
See Handling of edit flags
Natality 78 Father's Education FEDUC value,
code=87300-0 (Highest level of education Father)
codeable ValueSetEducationLevelVitalRecords
Natality 79 Father's Education--Edit Flag FEDUC_BYPASS value.extension[bypassEditFlag].value,
code=87300-0 (Highest level of education Father)
codeable ValueSetEditBypass01234VitalRecords,
See Handling of edit flags

Fetal Death
Use Case # Description IJE Name Field Type Value Set/Comments
Fetal Death 32 Mother's Education MEDUC value,
code=57712-2 (Highest level of education Mother)
codeable ValueSetEducationLevelVitalRecords
Fetal Death 33 Mother's Education--Edit Flag MEDUC_BYPASS value.extension[bypassEditFlag].value,
code=57712-2 (Highest level of education Mother)
codeable ValueSetEditBypass01234VitalRecords,
See Handling of edit flags
Fetal Death 283 Father's Education FEDUC value,
code=87300-0 (Highest level of education Father)
codeable ValueSetEducationLevelVitalRecords
Fetal Death 284 Father's Education--Edit Flag FEDUC_BYPASS value.extension[bypassEditFlag].value,
code=87300-0 (Highest level of education Father)
codeable ValueSetEditBypass01234VitalRecords,
See Handling of edit flags

Form Mapping

Item # Form Field FHIR Profile Field Reference
20 Mother’s Education code Certificate of Live Birth
23 Father’s Education code Certificate of Live Birth
8 What is the highest level of schooling that you will have completed at the time of delivery? code Mothers Worksheet for Child’s Birth Certificate
22 What is the highest level of schooling that the father will have completed at the time of delivery? code Mothers Worksheet for Child’s Birth Certificate
19 Mother’s Education code Report of Fetal Death
8 What is the highest level of schooling that you have completed at the time of delivery? code Patient’s Worksheet for the Report of Fetal Death

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMeasurements and simple assertions
... code 1..1CodeableConceptPersons for whom education level can be reported.
Binding: ValueSet - Education Level Person Vital Records (required): EducationLevelPerson

... subject 1..1Reference(Patient - Vital Records)This is the subject of the report, not the parent
... focus 0..1Reference(Patient - Mother Vital Records | Related Person - Parent Vital Records)The RelatedPerson or Patient record for the parent
.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... value[x] 1..1CodeableConceptValue of extension
Binding: Edit Bypass 01234 Vital Records (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.coderequiredValueSetEducationLevelPersonVitalRecords
Observation.value[x]requiredValueSetEducationLevelVitalRecords
Observation.value[x].extension:bypassEditFlag.value[x]requiredValueSetEditBypass01234VitalRecords
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... subject Σ1..1Reference(Patient - Vital Records)This is the subject of the report, not the parent
... focus Σ0..1Reference(Patient - Mother Vital Records | Related Person - Parent Vital Records)The RelatedPerson or Patient record for the parent
... value[x] ΣC1..1CodeableConceptThe collection of education levels used for vital records reporting.
Binding: ValueSet - Education Level Vital Records (required): Vital Records Education Level (NCHS)

.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
..... value[x] 1..1CodeableConceptValue of extension
Binding: Edit Bypass 01234 Vital Records (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredObservationStatus
Observation.coderequiredValueSetEducationLevelPersonVitalRecords
Observation.value[x]requiredValueSetEducationLevelVitalRecords
Observation.value[x].extension:bypassEditFlag.value[x]requiredValueSetEditBypass01234VitalRecords
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ1..1CodeableConceptPersons for whom education level can be reported.
Binding: ValueSet - Education Level Person Vital Records (required): EducationLevelPerson

... subject Σ1..1Reference(Patient - Vital Records)This is the subject of the report, not the parent
... focus Σ0..1Reference(Patient - Mother Vital Records | Related Person - Parent Vital Records)The RelatedPerson or Patient record for the parent
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] Σ0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣC1..1CodeableConceptThe collection of education levels used for vital records reporting.
Binding: ValueSet - Education Level Vital Records (required): Vital Records Education Level (NCHS)

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
..... value[x] 1..1CodeableConceptValue of extension
Binding: Edit Bypass 01234 Vital Records (required)
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component Σ0..*BackboneElementComponent results
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.coderequiredValueSetEducationLevelPersonVitalRecords
Observation.value[x]requiredValueSetEducationLevelVitalRecords
Observation.value[x].extension:bypassEditFlag.value[x]requiredValueSetEditBypass01234VitalRecords
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMeasurements and simple assertions
... code 1..1CodeableConceptPersons for whom education level can be reported.
Binding: ValueSet - Education Level Person Vital Records (required): EducationLevelPerson

... subject 1..1Reference(Patient - Vital Records)This is the subject of the report, not the parent
... focus 0..1Reference(Patient - Mother Vital Records | Related Person - Parent Vital Records)The RelatedPerson or Patient record for the parent
.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... value[x] 1..1CodeableConceptValue of extension
Binding: Edit Bypass 01234 Vital Records (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.coderequiredValueSetEducationLevelPersonVitalRecords
Observation.value[x]requiredValueSetEducationLevelVitalRecords
Observation.value[x].extension:bypassEditFlag.value[x]requiredValueSetEditBypass01234VitalRecords

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... subject Σ1..1Reference(Patient - Vital Records)This is the subject of the report, not the parent
... focus Σ0..1Reference(Patient - Mother Vital Records | Related Person - Parent Vital Records)The RelatedPerson or Patient record for the parent
... value[x] ΣC1..1CodeableConceptThe collection of education levels used for vital records reporting.
Binding: ValueSet - Education Level Vital Records (required): Vital Records Education Level (NCHS)

.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
..... value[x] 1..1CodeableConceptValue of extension
Binding: Edit Bypass 01234 Vital Records (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredObservationStatus
Observation.coderequiredValueSetEducationLevelPersonVitalRecords
Observation.value[x]requiredValueSetEducationLevelVitalRecords
Observation.value[x].extension:bypassEditFlag.value[x]requiredValueSetEditBypass01234VitalRecords

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ1..1CodeableConceptPersons for whom education level can be reported.
Binding: ValueSet - Education Level Person Vital Records (required): EducationLevelPerson

... subject Σ1..1Reference(Patient - Vital Records)This is the subject of the report, not the parent
... focus Σ0..1Reference(Patient - Mother Vital Records | Related Person - Parent Vital Records)The RelatedPerson or Patient record for the parent
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] Σ0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣC1..1CodeableConceptThe collection of education levels used for vital records reporting.
Binding: ValueSet - Education Level Vital Records (required): Vital Records Education Level (NCHS)

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
..... value[x] 1..1CodeableConceptValue of extension
Binding: Edit Bypass 01234 Vital Records (required)
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component Σ0..*BackboneElementComponent results
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.coderequiredValueSetEducationLevelPersonVitalRecords
Observation.value[x]requiredValueSetEducationLevelVitalRecords
Observation.value[x].extension:bypassEditFlag.value[x]requiredValueSetEditBypass01234VitalRecords
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

 

Other representations of profile: CSV, Excel, Schematron