Medicolegal Death Investigation (MDI) FHIR Implementation Guide
2.0.0-ballot2 - STU2 ballot United States of America flag

Medicolegal Death Investigation (MDI) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mdi-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Composition - MDI and EDRS

Official URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-and-edrs Version: 2.0.0-ballot2
Active as of 2024-12-17 Computable Name: CompositionMDIAndEDRS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.11.42.5

The body of a document exchanged between an MDI CMS and an EDRS for development of a death certificate.

Usage:

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
.... extension-tracking-numbers S 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
Binding: Tracking Number Type (extensible)
... status S 1..1 code preliminary | final | amended | entered-in-error
... type S 1..1 CodeableConcept MDI and EDRS (Death administrative information 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://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 86807-5
... author S 1..1 Reference(Practitioner - Vital Records) Death certifier. If the author is not available, explain using data-absent-reason Extension
... attester S 1..1 BackboneElement Death certifier. If the attester is not available, explain using data-absent-reason Extension
.... party S 0..1 Reference(Practitioner - Vital Records) Who attested the composition
... Slices for section S 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason.
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... code 1..1 CodeableConcept Classification of section (recommended)
.... section:additional-demographics 0..1 BackboneElement This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
..... code S 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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: demographics
...... text S 0..1 string Plain text representation of the concept
..... text S 0..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
.... section:circumstances 0..1 BackboneElement This slice contains circumstances of the death.
..... code S 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: circumstances
..... Slices for entry S 0..* Reference(Resource) Entries that are contained in the Circumstances section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:death-location 0..1 Reference(Death Location) Apparent address where death actually occurred.
...... entry:tobacco-use-contributed-to-death 0..1 Reference(Tobacco Use Contributed To Death) Whether or not tobacco use contributed to death.
...... entry:decedent-pregnancy 0..1 Reference(Decedent Pregnancy) Pregnancy status of the decedent.
...... entry:injury-location 0..1 Reference(Injury Location) Apparent address where injury occurred.
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:jurisdiction 0..1 BackboneElement This slice contains jurisdictional information about the death.
..... 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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: jurisdiction
..... Slices for entry S 0..* Reference(Resource) Entries that are contained in the Jurisdiction section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:death-date 0..1 Reference(Death Date) The estimated and pronounced date of death, also contains the death pronouncer practitioner.
...... entry:death-certification 0..1 Reference(Death Certification Procedure) The procedure where the certification of death was performed by the certifier.
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:cause-manner 0..1 BackboneElement This slice contains information about the cause and manner of death.
..... code S 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cause-manner
..... Slices for entry S 0..* Reference(Resource) Entries that are contained in the Cause-Manner section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:cause 0..4 Reference(MDI Cause Of Death Part 1) Up to 4 lines of cause of death.
...... entry:other-condition 0..1 Reference(Cause of Death Part 2) Other significant conditions contributing to death but not resulting in the underlying cause.
...... entry:manner 0..1 Reference(Manner of Death) Manner of death
...... entry:how-injury 0..1 Reference(Injury Incident) Certified explanation of how injury occurred.
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:medical-history 0..1 BackboneElement This slice contains relevant medical history about the decedent.
..... code S 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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: medical-history
..... text S 0..1 Narrative Narrative medical condition
..... Slices for entry S 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:history-condition 0..* Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile) Coded medical conditions.
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:exam-autopsy 0..1 BackboneElement This slice contains exam and autopsy information.
..... code S 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: exam-autopsy
..... text S 0..1 Narrative Description of autopsy findings
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:autopsy-performed 0..1 Reference(Autopsy Performed Indicator) If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
...... entry:autopsy-location 0..1 Reference(US Core Organization Profile | US Core Location Profile) If autopsy was performed, location.
.... section:narratives 0..1 BackboneElement This slice contains additional death investigation narrative descriptions.
..... code S 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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: narratives
..... text S 0..1 Narrative Additional death investigation narrative descriptions.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension-tracking-numbers S 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
Binding: Tracking Number Type (extensible)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... type SΣ 1..1 CodeableConcept MDI and EDRS (Death administrative information Document)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


ele-1: All FHIR elements must have a @value or children
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: 86807-5
... subject SΣ 1..1 Reference(Patient - Vital Records) The subject of the composition is the decedent.
ele-1: All FHIR elements must have a @value or children
... date Σ 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
... author SΣ 1..1 Reference(Practitioner - Vital Records) Death certifier. If the author is not available, explain using data-absent-reason Extension
ele-1: All FHIR elements must have a @value or children
... title Σ 1..1 string Human Readable name/title
ele-1: All FHIR elements must have a @value or children
... attester S 1..1 BackboneElement Death certifier. If the attester is not available, explain using data-absent-reason Extension
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


ele-1: All FHIR elements must have a @value or children
.... party S 0..1 Reference(Practitioner - Vital Records) Who attested the composition
ele-1: All FHIR elements must have a @value or children
... Slices for section SC 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason.
Slice: Unordered, Open by value: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
ele-1: All FHIR elements must have a @value or children
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
.... section:additional-demographics C 0..1 BackboneElement This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: demographics
...... text SΣ 0..1 string Plain text representation of the concept
ele-1: All FHIR elements must have a @value or children
..... text SC 0..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
..... entry C 0..* Reference(Resource) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:circumstances C 0..1 BackboneElement This slice contains circumstances of the death.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: circumstances
..... Slices for entry SC 0..* Reference(Resource) Entries that are contained in the Circumstances section
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:death-location C 0..1 Reference(Death Location) Apparent address where death actually occurred.
ele-1: All FHIR elements must have a @value or children
...... entry:tobacco-use-contributed-to-death C 0..1 Reference(Tobacco Use Contributed To Death) Whether or not tobacco use contributed to death.
ele-1: All FHIR elements must have a @value or children
...... entry:decedent-pregnancy C 0..1 Reference(Decedent Pregnancy) Pregnancy status of the decedent.
ele-1: All FHIR elements must have a @value or children
...... entry:injury-location C 0..1 Reference(Injury Location) Apparent address where injury occurred.
ele-1: All FHIR elements must have a @value or children
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


ele-1: All FHIR elements must have a @value or children
.... section:jurisdiction C 0..1 BackboneElement This slice contains jurisdictional information about the death.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: jurisdiction
..... Slices for entry SC 0..* Reference(Resource) Entries that are contained in the Jurisdiction section
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:death-date C 0..1 Reference(Death Date) The estimated and pronounced date of death, also contains the death pronouncer practitioner.
ele-1: All FHIR elements must have a @value or children
...... entry:death-certification C 0..1 Reference(Death Certification Procedure) The procedure where the certification of death was performed by the certifier.
ele-1: All FHIR elements must have a @value or children
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


ele-1: All FHIR elements must have a @value or children
.... section:cause-manner C 0..1 BackboneElement This slice contains information about the cause and manner of death.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cause-manner
..... Slices for entry SC 0..* Reference(Resource) Entries that are contained in the Cause-Manner section
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:cause C 0..4 Reference(MDI Cause Of Death Part 1) Up to 4 lines of cause of death.
ele-1: All FHIR elements must have a @value or children
...... entry:other-condition C 0..1 Reference(Cause of Death Part 2) Other significant conditions contributing to death but not resulting in the underlying cause.
ele-1: All FHIR elements must have a @value or children
...... entry:manner C 0..1 Reference(Manner of Death) Manner of death
ele-1: All FHIR elements must have a @value or children
...... entry:how-injury C 0..1 Reference(Injury Incident) Certified explanation of how injury occurred.
ele-1: All FHIR elements must have a @value or children
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


ele-1: All FHIR elements must have a @value or children
.... section:medical-history C 0..1 BackboneElement This slice contains relevant medical history about the decedent.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: medical-history
..... text SC 0..1 Narrative Narrative medical condition
ele-1: All FHIR elements must have a @value or children
..... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:history-condition C 0..* Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile) Coded medical conditions.
ele-1: All FHIR elements must have a @value or children
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


ele-1: All FHIR elements must have a @value or children
.... section:exam-autopsy C 0..1 BackboneElement This slice contains exam and autopsy information.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: exam-autopsy
..... text SC 0..1 Narrative Description of autopsy findings
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:autopsy-performed C 0..1 Reference(Autopsy Performed Indicator) If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
ele-1: All FHIR elements must have a @value or children
...... entry:autopsy-location C 0..1 Reference(US Core Organization Profile | US Core Location Profile) If autopsy was performed, location.
ele-1: All FHIR elements must have a @value or children
.... section:narratives C 0..1 BackboneElement This slice contains additional death investigation narrative descriptions.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: narratives
..... text SC 0..1 Narrative Additional death investigation narrative descriptions.
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 86807-5
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:additional-demographics.codeexamplePattern: demographics
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:circumstances.codeexamplePattern: circumstances
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:circumstances.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:jurisdiction.codeexamplePattern: jurisdiction
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:jurisdiction.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:cause-manner.codeexamplePattern: cause-manner
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:cause-manner.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:medical-history.codeexamplePattern: medical-history
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medical-history.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:exam-autopsy.codeexamplePattern: exam-autopsy
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:narratives.codeexamplePattern: narratives
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
.... extension-tracking-numbers S 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
Binding: Tracking Number Type (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Version-independent identifier for the Composition
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ 1..1 CodeableConcept MDI and EDRS (Death administrative information Document)
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: 86807-5
..... 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 SΣ 1..1 Reference(Patient - Vital Records) The subject of the composition is the decedent.
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author SΣ 1..1 Reference(Practitioner - Vital Records) Death certifier. If the author is not available, explain using data-absent-reason Extension
... 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 S 1..1 BackboneElement Death certifier. If the attester is not available, explain using data-absent-reason Extension
.... 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.

.... time 0..1 dateTime When the composition was attested
.... party S 0..1 Reference(Practitioner - Vital Records) Who attested the composition
... 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 0..* 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 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section SC 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason.
Slice: Unordered, Open by value: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:additional-demographics C 0..1 BackboneElement This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: demographics
....... 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
...... 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 SΣ 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 SC 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:circumstances C 0..1 BackboneElement This slice contains circumstances of the death.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: circumstances
....... 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 SC 0..* Reference(Resource) Entries that are contained in the Circumstances section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:death-location C 0..1 Reference(Death Location) Apparent address where death actually occurred.
...... entry:tobacco-use-contributed-to-death C 0..1 Reference(Tobacco Use Contributed To Death) Whether or not tobacco use contributed to death.
...... entry:decedent-pregnancy C 0..1 Reference(Decedent Pregnancy) Pregnancy status of the decedent.
...... entry:injury-location C 0..1 Reference(Injury Location) Apparent address where injury occurred.
..... emptyReason SC 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:jurisdiction C 0..1 BackboneElement This slice contains jurisdictional information about the death.
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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: jurisdiction
....... 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 SC 0..* Reference(Resource) Entries that are contained in the Jurisdiction section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:death-date C 0..1 Reference(Death Date) The estimated and pronounced date of death, also contains the death pronouncer practitioner.
...... entry:death-certification C 0..1 Reference(Death Certification Procedure) The procedure where the certification of death was performed by the certifier.
..... emptyReason SC 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:cause-manner C 0..1 BackboneElement This slice contains information about the cause and manner of death.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cause-manner
....... 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 SC 0..* Reference(Resource) Entries that are contained in the Cause-Manner section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:cause C 0..4 Reference(MDI Cause Of Death Part 1) Up to 4 lines of cause of death.
...... entry:other-condition C 0..1 Reference(Cause of Death Part 2) Other significant conditions contributing to death but not resulting in the underlying cause.
...... entry:manner C 0..1 Reference(Manner of Death) Manner of death
...... entry:how-injury C 0..1 Reference(Injury Incident) Certified explanation of how injury occurred.
..... emptyReason SC 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:medical-history C 0..1 BackboneElement This slice contains relevant medical history about the decedent.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: medical-history
....... 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 SC 0..1 Narrative Narrative medical condition
..... 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 SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:history-condition C 0..* Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile) Coded medical conditions.
..... emptyReason SC 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:exam-autopsy C 0..1 BackboneElement This slice contains exam and autopsy information.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: exam-autopsy
....... 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 SC 0..1 Narrative Description of autopsy findings
..... 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:autopsy-performed C 0..1 Reference(Autopsy Performed Indicator) If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
...... entry:autopsy-location C 0..1 Reference(US Core Organization Profile | US Core Location Profile) If autopsy was performed, location.
..... 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:narratives C 0..1 BackboneElement This slice contains additional death investigation narrative descriptions.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: narratives
....... 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 SC 0..1 Narrative Additional death investigation narrative descriptions.
..... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 86807-5
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.moderequiredCompositionAttestationMode
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.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
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:additional-demographics.codeexamplePattern: demographics
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:additional-demographics.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:additional-demographics.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:additional-demographics.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:circumstances.codeexamplePattern: circumstances
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:circumstances.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:circumstances.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:circumstances.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:jurisdiction.codeexamplePattern: jurisdiction
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:jurisdiction.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:jurisdiction.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:jurisdiction.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:cause-manner.codeexamplePattern: cause-manner
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:cause-manner.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:cause-manner.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:cause-manner.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:medical-history.codeexamplePattern: medical-history
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medical-history.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:medical-history.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:medical-history.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:exam-autopsy.codeexamplePattern: exam-autopsy
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:exam-autopsy.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:exam-autopsy.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:exam-autopsy.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:narratives.codeexamplePattern: narratives
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:narratives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:narratives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:narratives.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 4 elements
Must-Support: 27 elements

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
.... extension-tracking-numbers S 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
Binding: Tracking Number Type (extensible)
... status S 1..1 code preliminary | final | amended | entered-in-error
... type S 1..1 CodeableConcept MDI and EDRS (Death administrative information 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://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 86807-5
... author S 1..1 Reference(Practitioner - Vital Records) Death certifier. If the author is not available, explain using data-absent-reason Extension
... attester S 1..1 BackboneElement Death certifier. If the attester is not available, explain using data-absent-reason Extension
.... party S 0..1 Reference(Practitioner - Vital Records) Who attested the composition
... Slices for section S 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason.
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... code 1..1 CodeableConcept Classification of section (recommended)
.... section:additional-demographics 0..1 BackboneElement This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
..... code S 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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: demographics
...... text S 0..1 string Plain text representation of the concept
..... text S 0..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
.... section:circumstances 0..1 BackboneElement This slice contains circumstances of the death.
..... code S 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: circumstances
..... Slices for entry S 0..* Reference(Resource) Entries that are contained in the Circumstances section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:death-location 0..1 Reference(Death Location) Apparent address where death actually occurred.
...... entry:tobacco-use-contributed-to-death 0..1 Reference(Tobacco Use Contributed To Death) Whether or not tobacco use contributed to death.
...... entry:decedent-pregnancy 0..1 Reference(Decedent Pregnancy) Pregnancy status of the decedent.
...... entry:injury-location 0..1 Reference(Injury Location) Apparent address where injury occurred.
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:jurisdiction 0..1 BackboneElement This slice contains jurisdictional information about the death.
..... 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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: jurisdiction
..... Slices for entry S 0..* Reference(Resource) Entries that are contained in the Jurisdiction section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:death-date 0..1 Reference(Death Date) The estimated and pronounced date of death, also contains the death pronouncer practitioner.
...... entry:death-certification 0..1 Reference(Death Certification Procedure) The procedure where the certification of death was performed by the certifier.
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:cause-manner 0..1 BackboneElement This slice contains information about the cause and manner of death.
..... code S 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cause-manner
..... Slices for entry S 0..* Reference(Resource) Entries that are contained in the Cause-Manner section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:cause 0..4 Reference(MDI Cause Of Death Part 1) Up to 4 lines of cause of death.
...... entry:other-condition 0..1 Reference(Cause of Death Part 2) Other significant conditions contributing to death but not resulting in the underlying cause.
...... entry:manner 0..1 Reference(Manner of Death) Manner of death
...... entry:how-injury 0..1 Reference(Injury Incident) Certified explanation of how injury occurred.
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:medical-history 0..1 BackboneElement This slice contains relevant medical history about the decedent.
..... code S 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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: medical-history
..... text S 0..1 Narrative Narrative medical condition
..... Slices for entry S 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:history-condition 0..* Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile) Coded medical conditions.
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:exam-autopsy 0..1 BackboneElement This slice contains exam and autopsy information.
..... code S 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: exam-autopsy
..... text S 0..1 Narrative Description of autopsy findings
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:autopsy-performed 0..1 Reference(Autopsy Performed Indicator) If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
...... entry:autopsy-location 0..1 Reference(US Core Organization Profile | US Core Location Profile) If autopsy was performed, location.
.... section:narratives 0..1 BackboneElement This slice contains additional death investigation narrative descriptions.
..... code S 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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: narratives
..... text S 0..1 Narrative Additional death investigation narrative descriptions.

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension-tracking-numbers S 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
Binding: Tracking Number Type (extensible)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... type SΣ 1..1 CodeableConcept MDI and EDRS (Death administrative information Document)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


ele-1: All FHIR elements must have a @value or children
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: 86807-5
... subject SΣ 1..1 Reference(Patient - Vital Records) The subject of the composition is the decedent.
ele-1: All FHIR elements must have a @value or children
... date Σ 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
... author SΣ 1..1 Reference(Practitioner - Vital Records) Death certifier. If the author is not available, explain using data-absent-reason Extension
ele-1: All FHIR elements must have a @value or children
... title Σ 1..1 string Human Readable name/title
ele-1: All FHIR elements must have a @value or children
... attester S 1..1 BackboneElement Death certifier. If the attester is not available, explain using data-absent-reason Extension
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


ele-1: All FHIR elements must have a @value or children
.... party S 0..1 Reference(Practitioner - Vital Records) Who attested the composition
ele-1: All FHIR elements must have a @value or children
... Slices for section SC 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason.
Slice: Unordered, Open by value: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
ele-1: All FHIR elements must have a @value or children
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
.... section:additional-demographics C 0..1 BackboneElement This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: demographics
...... text SΣ 0..1 string Plain text representation of the concept
ele-1: All FHIR elements must have a @value or children
..... text SC 0..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
..... entry C 0..* Reference(Resource) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:circumstances C 0..1 BackboneElement This slice contains circumstances of the death.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: circumstances
..... Slices for entry SC 0..* Reference(Resource) Entries that are contained in the Circumstances section
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:death-location C 0..1 Reference(Death Location) Apparent address where death actually occurred.
ele-1: All FHIR elements must have a @value or children
...... entry:tobacco-use-contributed-to-death C 0..1 Reference(Tobacco Use Contributed To Death) Whether or not tobacco use contributed to death.
ele-1: All FHIR elements must have a @value or children
...... entry:decedent-pregnancy C 0..1 Reference(Decedent Pregnancy) Pregnancy status of the decedent.
ele-1: All FHIR elements must have a @value or children
...... entry:injury-location C 0..1 Reference(Injury Location) Apparent address where injury occurred.
ele-1: All FHIR elements must have a @value or children
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


ele-1: All FHIR elements must have a @value or children
.... section:jurisdiction C 0..1 BackboneElement This slice contains jurisdictional information about the death.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: jurisdiction
..... Slices for entry SC 0..* Reference(Resource) Entries that are contained in the Jurisdiction section
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:death-date C 0..1 Reference(Death Date) The estimated and pronounced date of death, also contains the death pronouncer practitioner.
ele-1: All FHIR elements must have a @value or children
...... entry:death-certification C 0..1 Reference(Death Certification Procedure) The procedure where the certification of death was performed by the certifier.
ele-1: All FHIR elements must have a @value or children
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


ele-1: All FHIR elements must have a @value or children
.... section:cause-manner C 0..1 BackboneElement This slice contains information about the cause and manner of death.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cause-manner
..... Slices for entry SC 0..* Reference(Resource) Entries that are contained in the Cause-Manner section
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:cause C 0..4 Reference(MDI Cause Of Death Part 1) Up to 4 lines of cause of death.
ele-1: All FHIR elements must have a @value or children
...... entry:other-condition C 0..1 Reference(Cause of Death Part 2) Other significant conditions contributing to death but not resulting in the underlying cause.
ele-1: All FHIR elements must have a @value or children
...... entry:manner C 0..1 Reference(Manner of Death) Manner of death
ele-1: All FHIR elements must have a @value or children
...... entry:how-injury C 0..1 Reference(Injury Incident) Certified explanation of how injury occurred.
ele-1: All FHIR elements must have a @value or children
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


ele-1: All FHIR elements must have a @value or children
.... section:medical-history C 0..1 BackboneElement This slice contains relevant medical history about the decedent.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: medical-history
..... text SC 0..1 Narrative Narrative medical condition
ele-1: All FHIR elements must have a @value or children
..... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:history-condition C 0..* Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile) Coded medical conditions.
ele-1: All FHIR elements must have a @value or children
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


ele-1: All FHIR elements must have a @value or children
.... section:exam-autopsy C 0..1 BackboneElement This slice contains exam and autopsy information.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: exam-autopsy
..... text SC 0..1 Narrative Description of autopsy findings
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:autopsy-performed C 0..1 Reference(Autopsy Performed Indicator) If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
ele-1: All FHIR elements must have a @value or children
...... entry:autopsy-location C 0..1 Reference(US Core Organization Profile | US Core Location Profile) If autopsy was performed, location.
ele-1: All FHIR elements must have a @value or children
.... section:narratives C 0..1 BackboneElement This slice contains additional death investigation narrative descriptions.
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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: narratives
..... text SC 0..1 Narrative Additional death investigation narrative descriptions.
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 86807-5
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:additional-demographics.codeexamplePattern: demographics
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:circumstances.codeexamplePattern: circumstances
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:circumstances.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:jurisdiction.codeexamplePattern: jurisdiction
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:jurisdiction.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:cause-manner.codeexamplePattern: cause-manner
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:cause-manner.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:medical-history.codeexamplePattern: medical-history
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medical-history.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:exam-autopsy.codeexamplePattern: exam-autopsy
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:narratives.codeexamplePattern: narratives
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
.... extension-tracking-numbers S 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
Binding: Tracking Number Type (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Version-independent identifier for the Composition
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ 1..1 CodeableConcept MDI and EDRS (Death administrative information Document)
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: 86807-5
..... 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 SΣ 1..1 Reference(Patient - Vital Records) The subject of the composition is the decedent.
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author SΣ 1..1 Reference(Practitioner - Vital Records) Death certifier. If the author is not available, explain using data-absent-reason Extension
... 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 S 1..1 BackboneElement Death certifier. If the attester is not available, explain using data-absent-reason Extension
.... 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.

.... time 0..1 dateTime When the composition was attested
.... party S 0..1 Reference(Practitioner - Vital Records) Who attested the composition
... 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 0..* 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 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section SC 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason.
Slice: Unordered, Open by value: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:additional-demographics C 0..1 BackboneElement This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: demographics
....... 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
...... 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 SΣ 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 SC 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:circumstances C 0..1 BackboneElement This slice contains circumstances of the death.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: circumstances
....... 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 SC 0..* Reference(Resource) Entries that are contained in the Circumstances section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:death-location C 0..1 Reference(Death Location) Apparent address where death actually occurred.
...... entry:tobacco-use-contributed-to-death C 0..1 Reference(Tobacco Use Contributed To Death) Whether or not tobacco use contributed to death.
...... entry:decedent-pregnancy C 0..1 Reference(Decedent Pregnancy) Pregnancy status of the decedent.
...... entry:injury-location C 0..1 Reference(Injury Location) Apparent address where injury occurred.
..... emptyReason SC 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:jurisdiction C 0..1 BackboneElement This slice contains jurisdictional information about the death.
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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: jurisdiction
....... 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 SC 0..* Reference(Resource) Entries that are contained in the Jurisdiction section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:death-date C 0..1 Reference(Death Date) The estimated and pronounced date of death, also contains the death pronouncer practitioner.
...... entry:death-certification C 0..1 Reference(Death Certification Procedure) The procedure where the certification of death was performed by the certifier.
..... emptyReason SC 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:cause-manner C 0..1 BackboneElement This slice contains information about the cause and manner of death.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cause-manner
....... 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 SC 0..* Reference(Resource) Entries that are contained in the Cause-Manner section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:cause C 0..4 Reference(MDI Cause Of Death Part 1) Up to 4 lines of cause of death.
...... entry:other-condition C 0..1 Reference(Cause of Death Part 2) Other significant conditions contributing to death but not resulting in the underlying cause.
...... entry:manner C 0..1 Reference(Manner of Death) Manner of death
...... entry:how-injury C 0..1 Reference(Injury Incident) Certified explanation of how injury occurred.
..... emptyReason SC 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:medical-history C 0..1 BackboneElement This slice contains relevant medical history about the decedent.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: medical-history
....... 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 SC 0..1 Narrative Narrative medical condition
..... 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 SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:history-condition C 0..* Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile) Coded medical conditions.
..... emptyReason SC 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:exam-autopsy C 0..1 BackboneElement This slice contains exam and autopsy information.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: exam-autopsy
....... 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 SC 0..1 Narrative Description of autopsy findings
..... 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:autopsy-performed C 0..1 Reference(Autopsy Performed Indicator) If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
...... entry:autopsy-location C 0..1 Reference(US Core Organization Profile | US Core Location Profile) If autopsy was performed, location.
..... 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:narratives C 0..1 BackboneElement This slice contains additional death investigation narrative descriptions.
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 S 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/mdi/CodeSystem/cs-mdi-codes
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: narratives
....... 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 SC 0..1 Narrative Additional death investigation narrative descriptions.
..... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 86807-5
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.moderequiredCompositionAttestationMode
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.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
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:additional-demographics.codeexamplePattern: demographics
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:additional-demographics.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:additional-demographics.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:additional-demographics.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:circumstances.codeexamplePattern: circumstances
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:circumstances.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:circumstances.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:circumstances.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:jurisdiction.codeexamplePattern: jurisdiction
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:jurisdiction.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:jurisdiction.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:jurisdiction.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:cause-manner.codeexamplePattern: cause-manner
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:cause-manner.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:cause-manner.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:cause-manner.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:medical-history.codeexamplePattern: medical-history
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medical-history.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:medical-history.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:medical-history.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:exam-autopsy.codeexamplePattern: exam-autopsy
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:exam-autopsy.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:exam-autopsy.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:exam-autopsy.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:narratives.codeexamplePattern: narratives
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:narratives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:narratives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:narratives.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 4 elements
Must-Support: 27 elements

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