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

Vital Records Death Reporting (VRDR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/vrdr/ and changes regularly. See the Directory of published versions

Resource Profile: Injury Incident

Official URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident Version: 3.0.0
Active as of 2024-09-16 Computable Name: InjuryIncident
Other Identifiers: OID:2.16.840.1.113883.4.642.40.10.42.40

This Observation provides the certified explanation of how the injury leading to death occurred.

IJE Mapping

Mortality (Decedent)
Use Case # Description IJE Name Field Type Value Set/Comments
Mortality 114 Date of injury--month DOI_MO effective.value dateTime See PartialDatesAndTimes
Mortality 115 Date of injury--day DOI_DY effective.value dateTime See PartialDatesAndTimes
Mortality 116 Date of injury--year DOI_YR effective.value dateTime See PartialDatesAndTimes
Mortality 117 Time of injury TOI_HR effective.value dateTime See PartialDatesAndTimes
Mortality 118 Injury at work WORKINJ component[workInjuryIndicator].value codeable ValueSetYesNoUnknownNotApplicableVitalRecords
Mortality 126 Time of Injury Unit TOI_UNIT effective.value implicit
Mortality 173 Place of Injury- literal POILITRL component[placeOfInjury].value.text string -
Mortality 174 Describe How Injury Occurred HOWINJ value.text string -
Mortality 175 If Transportation Accident, Specify TRANSPRT component[transportationRole].value. (if value.code = OTH) the role should be specified in value.text) codeable TransportationIncidentRoleVS

Form Mapping

Form Mapping
Item # Form Field FHIR Profile Field Reference
38 Date of Injury effective Certificate of Death
39 Time of Injury effective Certificate of Death
40 Place of Injury component[placeOfInjury].value.text Certificate of Death
41 Injury at Work? component[workInjuryIndicator].value Certificate of Death
43 Describe How Injury Occurred value.text Certificate of Death
44 If Transportation Injury, Specify component[transportationRole].value 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 Observation

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation 0..* Observation The certified explanation of how the injury leading to death occurred.
    ... code 1..1 CodeableConcept Injury incident description Narrative
    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: 11374-6
    ... subject 0..1 Reference(Patient - Vital Records) The subject of this observation is the decedent.
    ... effective[x] 0..1 dateTime Date/Time of Injury
    .... 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/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
    ... value[x] 0..1 CodeableConcept Actual result
    .... text 0..1 string Description of how injured
    ... Slices for component 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code
    .... component:placeOfInjury 0..1 BackboneElement Place of injury
    ..... code 1..1 CodeableConcept Place of injury Facility
    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: 69450-5
    ..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
    Slice: Unordered, Open by type:$this
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
    ....... text 0..1 string Place of Injury - Literal
    .... component:workInjuryIndicator 0..1 BackboneElement Injury at Work?
    ..... code 1..1 CodeableConcept Did death result from injury at work
    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: 69444-8
    ..... value[x] 0..1 CodeableConcept Injury at Work?
    Binding: Value Set - Yes No Unknown NotApplicable Vital Records (required)
    .... component:transportationRole 0..1 BackboneElement Component results
    ..... code 1..1 CodeableConcept Transportation role of decedent
    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: 69451-3
    ..... value[x] 1..1 CodeableConcept Transportation role of decedent
    Binding: Transportation Incident Role ValueSet (required)
    ...... text 0..1 string Transportation role of decedent, if code = OTH

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.component:workInjuryIndicator.value[x]requiredValueSetYesNoUnknownNotApplicableVitalRecords
    http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-not-applicable-vr
    Observation.component:transportationRole.value[x]requiredTransportationIncidentRoleVS
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-transportation-incident-role-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation The certified explanation of how the injury leading to death occurred.
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

    .... 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: 11374-6
    ... subject Σ 0..1 Reference(Patient - Vital Records) The subject of this observation is the decedent.
    ... effective[x] Σ 0..1 dateTime Date/Time of Injury
    .... 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/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
    ... performer Σ 0..* Reference(US Core Practitioner Profile) Certifier of the explanation.
    ... value[x] ΣC 0..1 CodeableConcept Actual result
    .... text Σ 0..1 string Description of how injured
    ... 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:placeOfInjury Σ 0..1 BackboneElement Place of injury
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code Σ 1..1 CodeableConcept Place of injury Facility
    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: 69450-5
    ..... Slices for value[x] Σ 0..1 Actual component result
    Slice: Unordered, Open by type:$this
    ...... valueQuantity Quantity
    ...... valueCodeableConcept CodeableConcept
    ...... valueString string
    ...... valueBoolean boolean
    ...... valueInteger integer
    ...... valueRange Range
    ...... valueRatio Ratio
    ...... valueSampledData SampledData
    ...... valueTime time
    ...... valueDateTime dateTime
    ...... valuePeriod Period
    ...... value[x]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
    ....... text Σ 0..1 string Place of Injury - Literal
    .... component:workInjuryIndicator Σ 0..1 BackboneElement Injury at Work?
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code Σ 1..1 CodeableConcept Did death result from injury at work
    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: 69444-8
    ..... value[x] Σ 0..1 CodeableConcept Injury at Work?
    Binding: Value Set - Yes No Unknown NotApplicable Vital Records (required)
    .... component:transportationRole Σ 0..1 BackboneElement Component results
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code Σ 1..1 CodeableConcept Transportation role of decedent
    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: 69451-3
    ..... value[x] Σ 1..1 CodeableConcept Transportation role of decedent
    Binding: Transportation Incident Role ValueSet (required)
    ...... text Σ 0..1 string Transportation role of decedent, if code = OTH

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.codeexamplePattern: LOINC Code 11374-6
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:placeOfInjury.codeexamplePattern: LOINC Code 69450-5
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:workInjuryIndicator.codeexamplePattern: LOINC Code 69444-8
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:workInjuryIndicator.value[x]requiredValueSetYesNoUnknownNotApplicableVitalRecords
    http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-not-applicable-vr
    Observation.component:transportationRole.codeexamplePattern: LOINC Code 69451-3
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:transportationRole.value[x]requiredTransportationIncidentRoleVS
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-transportation-incident-role-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation The certified explanation of how the injury leading to death occurred.
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... 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
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business Identifier for observation
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
    ... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

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


    ... code Σ 1..1 CodeableConcept Injury incident description Narrative
    Binding: LOINCCodes (example): Codes identifying names of simple observations.


    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: 11374-6
    ..... 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
    ... subject Σ 0..1 Reference(Patient - Vital Records) The subject of this observation is the decedent.
    ... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
    ... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
    ... effective[x] Σ 0..1 dateTime Date/Time of Injury
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... 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/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
    .... value 0..1 dateTime Primitive value for dateTime
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer Σ 0..* Reference(US Core Practitioner Profile) Certifier of the explanation.
    ... value[x] ΣC 0..1 CodeableConcept Actual result
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Description of how injured
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


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

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

    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    ... referenceRange C 0..* BackboneElement Provides guide for interpretation
    obs-3: Must have at least a low or a high or text
    .... 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
    .... low C 0..1 SimpleQuantity Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... type 0..1 CodeableConcept Reference range qualifier
    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

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


    .... age 0..1 Range Applicable age range, if relevant
    .... text 0..1 string Text based reference range in an observation
    ... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
    ... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code
    .... component: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
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINCCodes (example): Codes identifying names of simple observations.

    ..... value[x] Σ 0..1 Actual component result
    ...... valueQuantity Quantity
    ...... valueCodeableConcept CodeableConcept
    ...... valueString string
    ...... valueBoolean boolean
    ...... valueInteger integer
    ...... valueRange Range
    ...... valueRatio Ratio
    ...... valueSampledData SampledData
    ...... valueTime time
    ...... valueDateTime dateTime
    ...... valuePeriod Period
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:placeOfInjury Σ 0..1 BackboneElement Place of injury
    ..... 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 Place of injury Facility
    Binding: LOINCCodes (example): Codes identifying names of simple observations.


    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: 69450-5
    ....... 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
    ..... Slices for value[x] Σ 0..1 Actual component result
    Slice: Unordered, Open by type:$this
    ...... valueQuantity Quantity
    ...... valueCodeableConcept CodeableConcept
    ...... valueString string
    ...... valueBoolean boolean
    ...... valueInteger integer
    ...... valueRange Range
    ...... valueRatio Ratio
    ...... valueSampledData SampledData
    ...... valueTime time
    ...... valueDateTime dateTime
    ...... valuePeriod Period
    ...... value[x]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ....... coding Σ 0..* Coding Code defined by a terminology system
    ....... text Σ 0..1 string Place of Injury - Literal
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:workInjuryIndicator Σ 0..1 BackboneElement Injury at Work?
    ..... 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 Did death result from injury at work
    Binding: LOINCCodes (example): Codes identifying names of simple observations.


    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: 69444-8
    ....... 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
    ..... value[x] Σ 0..1 CodeableConcept Injury at Work?
    Binding: Value Set - Yes No Unknown NotApplicable Vital Records (required)
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:transportationRole Σ 0..1 BackboneElement Component results
    ..... 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 Transportation role of decedent
    Binding: LOINCCodes (example): Codes identifying names of simple observations.


    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: 69451-3
    ....... 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
    ..... value[x] Σ 1..1 CodeableConcept Transportation role of decedent
    Binding: Transportation Incident Role ValueSet (required)
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ...... coding Σ 0..* Coding Code defined by a terminology system
    ...... text Σ 0..1 string Transportation role of decedent, if code = OTH
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

    ..... interpretation 0..* CodeableConcept High, 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 / CodeURI
    Observation.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.codeexamplePattern: LOINC Code 11374-6
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Observation.methodexampleObservationMethods
    http://hl7.org/fhir/ValueSet/observation-methods
    from the FHIR Standard
    Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    from the FHIR Standard
    Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    from the FHIR Standard
    Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.component:placeOfInjury.codeexamplePattern: LOINC Code 69450-5
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:placeOfInjury.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component:placeOfInjury.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.component:workInjuryIndicator.codeexamplePattern: LOINC Code 69444-8
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:workInjuryIndicator.value[x]requiredValueSetYesNoUnknownNotApplicableVitalRecords
    http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-not-applicable-vr
    Observation.component:workInjuryIndicator.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component:workInjuryIndicator.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.component:transportationRole.codeexamplePattern: LOINC Code 69451-3
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:transportationRole.value[x]requiredTransportationIncidentRoleVS
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-transportation-incident-role-vs
    from this IG
    Observation.component:transportationRole.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component:transportationRole.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard

    This structure is derived from Observation

    Summary

    Mandatory: 0 element(1 nested mandatory 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 Observation.component
    • The element 1 is sliced based on the value of Observation.component.value[x]

    Differential View

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation 0..* Observation The certified explanation of how the injury leading to death occurred.
    ... code 1..1 CodeableConcept Injury incident description Narrative
    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: 11374-6
    ... subject 0..1 Reference(Patient - Vital Records) The subject of this observation is the decedent.
    ... effective[x] 0..1 dateTime Date/Time of Injury
    .... 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/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
    ... value[x] 0..1 CodeableConcept Actual result
    .... text 0..1 string Description of how injured
    ... Slices for component 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code
    .... component:placeOfInjury 0..1 BackboneElement Place of injury
    ..... code 1..1 CodeableConcept Place of injury Facility
    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: 69450-5
    ..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
    Slice: Unordered, Open by type:$this
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
    ....... text 0..1 string Place of Injury - Literal
    .... component:workInjuryIndicator 0..1 BackboneElement Injury at Work?
    ..... code 1..1 CodeableConcept Did death result from injury at work
    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: 69444-8
    ..... value[x] 0..1 CodeableConcept Injury at Work?
    Binding: Value Set - Yes No Unknown NotApplicable Vital Records (required)
    .... component:transportationRole 0..1 BackboneElement Component results
    ..... code 1..1 CodeableConcept Transportation role of decedent
    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: 69451-3
    ..... value[x] 1..1 CodeableConcept Transportation role of decedent
    Binding: Transportation Incident Role ValueSet (required)
    ...... text 0..1 string Transportation role of decedent, if code = OTH

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.component:workInjuryIndicator.value[x]requiredValueSetYesNoUnknownNotApplicableVitalRecords
    http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-not-applicable-vr
    Observation.component:transportationRole.value[x]requiredTransportationIncidentRoleVS
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-transportation-incident-role-vs
    from this IG

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation The certified explanation of how the injury leading to death occurred.
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

    .... 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: 11374-6
    ... subject Σ 0..1 Reference(Patient - Vital Records) The subject of this observation is the decedent.
    ... effective[x] Σ 0..1 dateTime Date/Time of Injury
    .... 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/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
    ... performer Σ 0..* Reference(US Core Practitioner Profile) Certifier of the explanation.
    ... value[x] ΣC 0..1 CodeableConcept Actual result
    .... text Σ 0..1 string Description of how injured
    ... 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:placeOfInjury Σ 0..1 BackboneElement Place of injury
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code Σ 1..1 CodeableConcept Place of injury Facility
    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: 69450-5
    ..... Slices for value[x] Σ 0..1 Actual component result
    Slice: Unordered, Open by type:$this
    ...... valueQuantity Quantity
    ...... valueCodeableConcept CodeableConcept
    ...... valueString string
    ...... valueBoolean boolean
    ...... valueInteger integer
    ...... valueRange Range
    ...... valueRatio Ratio
    ...... valueSampledData SampledData
    ...... valueTime time
    ...... valueDateTime dateTime
    ...... valuePeriod Period
    ...... value[x]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
    ....... text Σ 0..1 string Place of Injury - Literal
    .... component:workInjuryIndicator Σ 0..1 BackboneElement Injury at Work?
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code Σ 1..1 CodeableConcept Did death result from injury at work
    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: 69444-8
    ..... value[x] Σ 0..1 CodeableConcept Injury at Work?
    Binding: Value Set - Yes No Unknown NotApplicable Vital Records (required)
    .... component:transportationRole Σ 0..1 BackboneElement Component results
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code Σ 1..1 CodeableConcept Transportation role of decedent
    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: 69451-3
    ..... value[x] Σ 1..1 CodeableConcept Transportation role of decedent
    Binding: Transportation Incident Role ValueSet (required)
    ...... text Σ 0..1 string Transportation role of decedent, if code = OTH

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.codeexamplePattern: LOINC Code 11374-6
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:placeOfInjury.codeexamplePattern: LOINC Code 69450-5
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:workInjuryIndicator.codeexamplePattern: LOINC Code 69444-8
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:workInjuryIndicator.value[x]requiredValueSetYesNoUnknownNotApplicableVitalRecords
    http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-not-applicable-vr
    Observation.component:transportationRole.codeexamplePattern: LOINC Code 69451-3
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component:transportationRole.value[x]requiredTransportationIncidentRoleVS
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-transportation-incident-role-vs
    from this IG

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation The certified explanation of how the injury leading to death occurred.
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... 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
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business Identifier for observation
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
    ... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

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


    ... code Σ 1..1 CodeableConcept Injury incident description Narrative
    Binding: LOINCCodes (example): Codes identifying names of simple observations.


    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: 11374-6
    ..... 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
    ... subject Σ 0..1 Reference(Patient - Vital Records) The subject of this observation is the decedent.
    ... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
    ... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
    ... effective[x] Σ 0..1 dateTime Date/Time of Injury
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... 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/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
    .... value 0..1 dateTime Primitive value for dateTime
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer Σ 0..* Reference(US Core Practitioner Profile) Certifier of the explanation.
    ... value[x] ΣC 0..1 CodeableConcept Actual result
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Description of how injured
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


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

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

    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    ... referenceRange C 0..* BackboneElement Provides guide for interpretation
    obs-3: Must have at least a low or a high or text
    .... 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
    .... low C 0..1 SimpleQuantity Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... type 0..1 CodeableConcept Reference range qualifier
    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

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


    .... age 0..1 Range Applicable age range, if relevant
    .... text 0..1 string Text based reference range in an observation
    ... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
    ... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code
    .... component: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
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINCCodes (example): Codes identifying names of simple observations.

    ..... value[x] Σ 0..1 Actual component result
    ...... valueQuantity Quantity
    ...... valueCodeableConcept CodeableConcept
    ...... valueString string
    ...... valueBoolean boolean
    ...... valueInteger integer
    ...... valueRange Range
    ...... valueRatio Ratio
    ...... valueSampledData SampledData
    ...... valueTime time
    ...... valueDateTime dateTime
    ...... valuePeriod Period
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:placeOfInjury Σ 0..1 BackboneElement Place of injury
    ..... 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 Place of injury Facility
    Binding: LOINCCodes (example): Codes identifying names of simple observations.


    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: 69450-5
    ....... 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
    ..... Slices for value[x] Σ 0..1 Actual component result
    Slice: Unordered, Open by type:$this
    ...... valueQuantity Quantity
    ...... valueCodeableConcept CodeableConcept
    ...... valueString string
    ...... valueBoolean boolean
    ...... valueInteger integer
    ...... valueRange Range
    ...... valueRatio Ratio
    ...... valueSampledData SampledData
    ...... valueTime time
    ...... valueDateTime dateTime
    ...... valuePeriod Period
    ...... value[x]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ....... coding Σ 0..* Coding Code defined by a terminology system
    ....... text Σ 0..1 string Place of Injury - Literal
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:workInjuryIndicator Σ 0..1 BackboneElement Injury at Work?
    ..... 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 Did death result from injury at work
    Binding: LOINCCodes (example): Codes identifying names of simple observations.


    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
    ......