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 2.0.1-cibuild 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
Mappings for the Composition-mdi-dcr resource profile.
| CompositionMDIDCR |
| Composition | Entity. Role, or Act, Document[classCode="DOC" and moodCode="EVN" and isNormalAct()] |
| text | Act.text? |
| contained | N/A |
| extension (extension-death-certificate-status) | n/a, N/A |
| extension (extension-cremation-clearance-status) | n/a, N/A |
| extension (extension-me-certification-affirmation) | n/a, N/A |
| extension (extension-cremation-clearance-coroner) | n/a, N/A |
| extension (extension-cremation-clearance-signature) | n/a, N/A |
| modifierExtension | N/A |
| identifier | Document.id / Document.setId |
| status | interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete" |
| type | ./code |
| category | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code |
| subject | .participation[typeCode="SBJ"].role[typeCode="PAT"] |
| encounter | unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct]) |
| date | .effectiveTime[type="TS"] |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| title | ./title |
| confidentiality | .confidentialityCode |
| attester | .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| mode | unique(./modeCode) |
| time | ./time[type="TS" and isNormalDatatype()] |
| party | ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()] |
| custodian | .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"] |
| relatesTo | .outboundRelationship |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| code | .outboundRelationship.typeCode |
| target[x] | .target[classCode="DOC", moodCode="EVN"].id |
| event | outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT'] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| code | .code |
| period | .effectiveTime |
| detail | .outboundRelationship[typeCode="SUBJ"].target |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| title | ./title |
| code | ./code |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| section (DecedentDemographics) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| title | ./title |
| code | ./code |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (Decedent) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (Father) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (Mother) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (Spouse) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (Age) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (BirthRecordID) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (FetalDeathRecordID) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (BirthRecordIDChild) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (EducationLevel) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (MilitaryService) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (UsualWork) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (EmergingIssues) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (InputRaceAndEthnicity) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| section (DeathInvestigation) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| title | ./title |
| code | ./code |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (ExaminerContacted) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (PregnancyStatus) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (TobaccoUse) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (DeathLocation) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (InjuryLocation) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (InjuryIncident) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (Autopsy) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (DeathDate) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (SurgeryDate) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| section (DeathCertification) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| title | ./title |
| code | ./code |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (Certifier) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (DeathCertification) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (MannerOfDeath) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (CauseOfDeathPart1) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (CauseOfDeathPart2) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| section (DecedentDisposition) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| title | ./title |
| code | ./code |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (DispositionLocation) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (FuneralHome) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (DispositionMethod) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (Mortician) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| section (Death-Certificate-data-review) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| title | ./title |
| code | ./code |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (med-info-quality-review) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (personal-info-quality-review) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| section (cremation-clearance-info) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| title | ./title |
| code | ./code |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (authorizing-agent) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (embalmed) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (communicable-disease) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (cause-of-death-certifier) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (funeral-home) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (mortician) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| entry (crematorium) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| CompositionMDIDCR |
| Composition | ClinicalDocument |
| identifier | .setId |
| status | n/a |
| type | .code |
| category | n/a |
| subject | .recordTarget |
| encounter | .componentOf.encompassingEncounter |
| date | .effectiveTime |
| author | .author.assignedAuthor |
| title | .title |
| confidentiality | .confidentialityCode |
| attester | .authenticator/.legalAuthenticator |
| mode | implied by .authenticator/.legalAuthenticator |
| time | .authenticator.time |
| party | .authenticator.assignedEnttty |
| custodian | .custodian.assignedCustodian |
| relatesTo | .relatedDocument |
| code | .relatedDocument.typeCode |
| target[x] | .relatedDocument.id |
| event | .documentationOf.serviceEvent |
| code | .code |
| period | .effectiveTime |
| detail | n/a |
| section | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| emptyReason | n/a |
| section | .component.section |
| section (DecedentDemographics) | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| entry (Decedent) | .entry |
| entry (Father) | .entry |
| entry (Mother) | .entry |
| entry (Spouse) | .entry |
| entry (Age) | .entry |
| entry (BirthRecordID) | .entry |
| entry (FetalDeathRecordID) | .entry |
| entry (BirthRecordIDChild) | .entry |
| entry (EducationLevel) | .entry |
| entry (MilitaryService) | .entry |
| entry (UsualWork) | .entry |
| entry (EmergingIssues) | .entry |
| entry (InputRaceAndEthnicity) | .entry |
| emptyReason | n/a |
| section | .component.section |
| section (DeathInvestigation) | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| entry (ExaminerContacted) | .entry |
| entry (PregnancyStatus) | .entry |
| entry (TobaccoUse) | .entry |
| entry (DeathLocation) | .entry |
| entry (InjuryLocation) | .entry |
| entry (InjuryIncident) | .entry |
| entry (Autopsy) | .entry |
| entry (DeathDate) | .entry |
| entry (SurgeryDate) | .entry |
| emptyReason | n/a |
| section | .component.section |
| section (DeathCertification) | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| entry (Certifier) | .entry |
| entry (DeathCertification) | .entry |
| entry (MannerOfDeath) | .entry |
| entry (CauseOfDeathPart1) | .entry |
| entry (CauseOfDeathPart2) | .entry |
| emptyReason | n/a |
| section | .component.section |
| section (DecedentDisposition) | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| entry (DispositionLocation) | .entry |
| entry (FuneralHome) | .entry |
| entry (DispositionMethod) | .entry |
| entry (Mortician) | .entry |
| emptyReason | n/a |
| section | .component.section |
| section (Death-Certificate-data-review) | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| entry (med-info-quality-review) | .entry |
| entry (personal-info-quality-review) | .entry |
| emptyReason | n/a |
| section | .component.section |
| section (cremation-clearance-info) | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| entry (authorizing-agent) | .entry |
| entry (embalmed) | .entry |
| entry (communicable-disease) | .entry |
| entry (cause-of-death-certifier) | .entry |
| entry (funeral-home) | .entry |
| entry (mortician) | .entry |
| entry (crematorium) | .entry |
| emptyReason | n/a |
| section | .component.section |
|
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