Medicolegal Death Investigation (MDI) FHIR Implementation Guide
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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

Resource Profile: Composition - Death Certificate Review

Official URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-dcr Version: 2.0.1-cibuild
Active as of 2024-11-22 Computable Name: CompositionMDIDCR
Other Identifiers: OID:2.16.840.1.113883.4.642.40.11.42.6

This Composition contains information for a request to review death certificate data, for death data quality improvement, cremation clearance, and other workflows. It can contain EDRS death certificate structured data.

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 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 EDRS 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)
.... extension-death-certificate-status 0..* (Complex) Death Certificate workflow status
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
.... extension-cremation-clearance-status 0..1 CodeableConcept Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status
Binding: ValueSet - Cremation Clearance Status example (example)
.... extension-me-certification-affirmation 0..1 CodeableConcept Indicates whether the Medical Examiner certification has been affirmed or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation
Binding: ValueSet - Medical Examiner Certification Affirmation example (example)
.... extension-cremation-clearance-coroner 0..1 CodeableConcept Indicates whether the Cremation Clearance is a Coroner workflow or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
.... extension-cremation-clearance-signature 0..1 CodeableConcept Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature
Binding: ValueSet - Cremation Clearance Status example (example)
... subject 1..1 Reference(Decedent) Who and/or what the composition is about
... Slices for section 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... code 1..1 CodeableConcept Classification of section (recommended)
.... section:DecedentDemographics 0..1 BackboneElement DecedentDemographics section from VRDR Death Certificate Composition for review
..... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDemographics
..... Slices for entry 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Decedent 1..1 Reference(Decedent) Decedent
...... entry:Father 0..1 Reference(Decedent Father) DecedentFather
...... entry:Mother 0..1 Reference(Decedent Mother) DecedentMother
...... entry:Spouse 0..1 Reference(Decedent Spouse) DecedentSpouse
...... entry:Age 0..1 Reference(Decedent Age) DecedentAge
...... entry:BirthRecordID 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
...... entry:FetalDeathRecordID 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
...... entry:BirthRecordIDChild 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
...... entry:EducationLevel 0..1 Reference(Decedent Education Level) DecedentEducationLevel
...... entry:MilitaryService 0..1 Reference(Decedent Military Service) DecedentMilitaryService
...... entry:UsualWork 0..1 Reference(Decedent Usual Work) DecedentUsualWork
...... entry:EmergingIssues 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
...... entry:InputRaceAndEthnicity 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
.... section:DeathInvestigation 0..1 BackboneElement DeathInvestigation section from VRDR Death Certificate Composition for review
..... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathInvestigation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ExaminerContacted 0..1 Reference(Examiner Contacted) ExaminerContacted
...... entry:PregnancyStatus 0..1 Reference(Decedent Pregnancy) DecedentPregnancyStatus
...... entry:TobaccoUse 0..1 Reference(Tobacco Use Contributed To Death) TobaccoUse
...... entry:DeathLocation 0..1 Reference(Death Location) Death Location
...... entry:InjuryLocation 0..1 Reference(Injury Location) Injury Location
...... entry:InjuryIncident 0..1 Reference(Injury Incident) InjuryIncident
...... entry:Autopsy 0..1 Reference(Autopsy Performed Indicator) AutopsyPerformedIndicator
...... entry:DeathDate 0..1 Reference(Death Date) DeathDate
...... entry:SurgeryDate 0..1 Reference(Surgery Date) SurgeryDate
.... section:DeathCertification 0..1 BackboneElement DeathCertification section from VRDR Death Certificate Composition for review
..... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathCertification
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Certifier 0..1 Reference(Practitioner - Vital Records) Certifier
...... entry:DeathCertification 0..1 Reference(Death Certification Procedure) DeathCertification
...... entry:MannerOfDeath 0..1 Reference(Manner of Death) MannerOfDeath
...... entry:CauseOfDeathPart1 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
...... entry:CauseOfDeathPart2 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
.... section:DecedentDisposition 0..1 BackboneElement DecedentDisposition section from VRDR Death Certificate Composition for review
..... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDisposition
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:DispositionLocation 0..1 Reference(Disposition Location) DispositionLocation
...... entry:FuneralHome 0..1 Reference(Funeral Home) FuneralHome
...... entry:DispositionMethod 0..1 Reference(Decedent Disposition Method) DispositionMethod
...... entry:Mortician 0..1 Reference(Mortician) Mortician
.... section:Death-Certificate-data-review 0..1 BackboneElement Death Certificate Data Review Results Section
..... 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: Death-Certificate-data-review
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:med-info-quality-review 0..1 Reference(Observation - Medical Information Data Quality) Medical information data quality review status
...... entry:personal-info-quality-review 0..1 Reference(Observation - Personal Information Data Quality) Personal information data quality review status
.... section:cremation-clearance-info 0..1 BackboneElement Cremation Clearance information
..... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cremation-clearance-info
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:authorizing-agent 0..1 Reference(US Core RelatedPerson Profile) Individual authorizing cremation, often next-of-kin
...... entry:embalmed 0..1 Reference(Observation - Embalmed) Was body embalmed?
...... entry:communicable-disease 0..1 Reference(Observation - Communicable Disease) Did Decedent have a communicable disease?
...... entry:cause-of-death-certifier 0..1 Reference(Death Certifier) Death Certificate certifier, often attending physician
...... entry:funeral-home 0..1 Reference(Funeral Home) Funeral home
...... entry:mortician 0..1 Reference(Mortician) Mortician
...... entry:crematorium 0..1 Reference(Organization - Crematorium) Crematorium

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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension-tracking-numbers 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 EDRS 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)
.... extension-death-certificate-status 0..* (Complex) Death Certificate workflow status
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
.... extension-cremation-clearance-status 0..1 CodeableConcept Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status
Binding: ValueSet - Cremation Clearance Status example (example)
.... extension-me-certification-affirmation 0..1 CodeableConcept Indicates whether the Medical Examiner certification has been affirmed or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation
Binding: ValueSet - Medical Examiner Certification Affirmation example (example)
.... extension-cremation-clearance-coroner 0..1 CodeableConcept Indicates whether the Cremation Clearance is a Coroner workflow or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
.... extension-cremation-clearance-signature 0..1 CodeableConcept Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature
Binding: ValueSet - Cremation Clearance Status example (example)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

... subject Σ 1..1 Reference(Decedent) Who and/or what the composition is about
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the composition
... title Σ 1..1 string Human Readable name/title
... Slices for section C 0..* BackboneElement Composition is broken into sections
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... section:DecedentDemographics C 0..1 BackboneElement DecedentDemographics section from VRDR Death Certificate Composition for review
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDemographics
..... Slices for entry C 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Decedent C 1..1 Reference(Decedent) Decedent
...... entry:Father C 0..1 Reference(Decedent Father) DecedentFather
...... entry:Mother C 0..1 Reference(Decedent Mother) DecedentMother
...... entry:Spouse C 0..1 Reference(Decedent Spouse) DecedentSpouse
...... entry:Age C 0..1 Reference(Decedent Age) DecedentAge
...... entry:BirthRecordID C 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
...... entry:FetalDeathRecordID C 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
...... entry:BirthRecordIDChild C 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
...... entry:EducationLevel C 0..1 Reference(Decedent Education Level) DecedentEducationLevel
...... entry:MilitaryService C 0..1 Reference(Decedent Military Service) DecedentMilitaryService
...... entry:UsualWork C 0..1 Reference(Decedent Usual Work) DecedentUsualWork
...... entry:EmergingIssues C 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
...... entry:InputRaceAndEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
.... section:DeathInvestigation C 0..1 BackboneElement DeathInvestigation section from VRDR Death Certificate Composition for review
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathInvestigation
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ExaminerContacted C 0..1 Reference(Examiner Contacted) ExaminerContacted
...... entry:PregnancyStatus C 0..1 Reference(Decedent Pregnancy) DecedentPregnancyStatus
...... entry:TobaccoUse C 0..1 Reference(Tobacco Use Contributed To Death) TobaccoUse
...... entry:DeathLocation C 0..1 Reference(Death Location) Death Location
...... entry:InjuryLocation C 0..1 Reference(Injury Location) Injury Location
...... entry:InjuryIncident C 0..1 Reference(Injury Incident) InjuryIncident
...... entry:Autopsy C 0..1 Reference(Autopsy Performed Indicator) AutopsyPerformedIndicator
...... entry:DeathDate C 0..1 Reference(Death Date) DeathDate
...... entry:SurgeryDate C 0..1 Reference(Surgery Date) SurgeryDate
.... section:DeathCertification C 0..1 BackboneElement DeathCertification section from VRDR Death Certificate Composition for review
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathCertification
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Certifier C 0..1 Reference(Practitioner - Vital Records) Certifier
...... entry:DeathCertification C 0..1 Reference(Death Certification Procedure) DeathCertification
...... entry:MannerOfDeath C 0..1 Reference(Manner of Death) MannerOfDeath
...... entry:CauseOfDeathPart1 C 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
...... entry:CauseOfDeathPart2 C 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
.... section:DecedentDisposition C 0..1 BackboneElement DecedentDisposition section from VRDR Death Certificate Composition for review
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDisposition
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:DispositionLocation C 0..1 Reference(Disposition Location) DispositionLocation
...... entry:FuneralHome C 0..1 Reference(Funeral Home) FuneralHome
...... entry:DispositionMethod C 0..1 Reference(Decedent Disposition Method) DispositionMethod
...... entry:Mortician C 0..1 Reference(Mortician) Mortician
.... section:Death-Certificate-data-review C 0..1 BackboneElement Death Certificate Data Review Results Section
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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: Death-Certificate-data-review
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:med-info-quality-review C 0..1 Reference(Observation - Medical Information Data Quality) Medical information data quality review status
...... entry:personal-info-quality-review C 0..1 Reference(Observation - Personal Information Data Quality) Personal information data quality review status
.... section:cremation-clearance-info C 0..1 BackboneElement Cremation Clearance 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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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: cremation-clearance-info
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:authorizing-agent C 0..1 Reference(US Core RelatedPerson Profile) Individual authorizing cremation, often next-of-kin
...... entry:embalmed C 0..1 Reference(Observation - Embalmed) Was body embalmed?
...... entry:communicable-disease C 0..1 Reference(Observation - Communicable Disease) Did Decedent have a communicable disease?
...... entry:cause-of-death-certifier C 0..1 Reference(Death Certifier) Death Certificate certifier, often attending physician
...... entry:funeral-home C 0..1 Reference(Funeral Home) Funeral home
...... entry:mortician C 0..1 Reference(Mortician) Mortician
...... entry:crematorium C 0..1 Reference(Organization - Crematorium) Crematorium

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.typepreferredFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DecedentDemographics.codeexamplePattern: DecedentDemographics
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DeathInvestigation.codeexamplePattern: DeathInvestigation
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DeathCertification.codeexamplePattern: DeathCertification
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DecedentDisposition.codeexamplePattern: DecedentDisposition
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:Death-Certificate-data-review.codeexamplePattern: Death-Certificate-data-review
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:cremation-clearance-info.codeexamplePattern: cremation-clearance-info
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 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 EDRS 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)
.... extension-death-certificate-status 0..* (Complex) Death Certificate workflow status
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
.... extension-cremation-clearance-status 0..1 CodeableConcept Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status
Binding: ValueSet - Cremation Clearance Status example (example)
.... extension-me-certification-affirmation 0..1 CodeableConcept Indicates whether the Medical Examiner certification has been affirmed or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation
Binding: ValueSet - Medical Examiner Certification Affirmation example (example)
.... extension-cremation-clearance-coroner 0..1 CodeableConcept Indicates whether the Cremation Clearance is a Coroner workflow or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
.... extension-cremation-clearance-signature 0..1 CodeableConcept Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature
Binding: ValueSet - Cremation Clearance Status example (example)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Version-independent identifier for the Composition
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ 1..1 Reference(Decedent) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the composition
... 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 0..* BackboneElement Attests to accuracy of composition
.... 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 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) 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 C 0..* BackboneElement Composition is broken into sections
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:DecedentDemographics C 0..1 BackboneElement DecedentDemographics section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDemographics
....... 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 C 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Decedent C 1..1 Reference(Decedent) Decedent
...... entry:Father C 0..1 Reference(Decedent Father) DecedentFather
...... entry:Mother C 0..1 Reference(Decedent Mother) DecedentMother
...... entry:Spouse C 0..1 Reference(Decedent Spouse) DecedentSpouse
...... entry:Age C 0..1 Reference(Decedent Age) DecedentAge
...... entry:BirthRecordID C 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
...... entry:FetalDeathRecordID C 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
...... entry:BirthRecordIDChild C 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
...... entry:EducationLevel C 0..1 Reference(Decedent Education Level) DecedentEducationLevel
...... entry:MilitaryService C 0..1 Reference(Decedent Military Service) DecedentMilitaryService
...... entry:UsualWork C 0..1 Reference(Decedent Usual Work) DecedentUsualWork
...... entry:EmergingIssues C 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
...... entry:InputRaceAndEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
..... 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:DeathInvestigation C 0..1 BackboneElement DeathInvestigation section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathInvestigation
....... 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 C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ExaminerContacted C 0..1 Reference(Examiner Contacted) ExaminerContacted
...... entry:PregnancyStatus C 0..1 Reference(Decedent Pregnancy) DecedentPregnancyStatus
...... entry:TobaccoUse C 0..1 Reference(Tobacco Use Contributed To Death) TobaccoUse
...... entry:DeathLocation C 0..1 Reference(Death Location) Death Location
...... entry:InjuryLocation C 0..1 Reference(Injury Location) Injury Location
...... entry:InjuryIncident C 0..1 Reference(Injury Incident) InjuryIncident
...... entry:Autopsy C 0..1 Reference(Autopsy Performed Indicator) AutopsyPerformedIndicator
...... entry:DeathDate C 0..1 Reference(Death Date) DeathDate
...... entry:SurgeryDate C 0..1 Reference(Surgery Date) SurgeryDate
..... 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:DeathCertification C 0..1 BackboneElement DeathCertification section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathCertification
....... 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 C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Certifier C 0..1 Reference(Practitioner - Vital Records) Certifier
...... entry:DeathCertification C 0..1 Reference(Death Certification Procedure) DeathCertification
...... entry:MannerOfDeath C 0..1 Reference(Manner of Death) MannerOfDeath
...... entry:CauseOfDeathPart1 C 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
...... entry:CauseOfDeathPart2 C 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
..... 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:DecedentDisposition C 0..1 BackboneElement DecedentDisposition section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDisposition
....... 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 C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:DispositionLocation C 0..1 Reference(Disposition Location) DispositionLocation
...... entry:FuneralHome C 0..1 Reference(Funeral Home) FuneralHome
...... entry:DispositionMethod C 0..1 Reference(Decedent Disposition Method) DispositionMethod
...... entry:Mortician C 0..1 Reference(Mortician) Mortician
..... 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:Death-Certificate-data-review C 0..1 BackboneElement Death Certificate Data Review Results Section
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: Death-Certificate-data-review
....... 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 C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:med-info-quality-review C 0..1 Reference(Observation - Medical Information Data Quality) Medical information data quality review status
...... entry:personal-info-quality-review C 0..1 Reference(Observation - Personal Information Data Quality) Personal information data quality review status
..... 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:cremation-clearance-info C 0..1 BackboneElement Cremation Clearance 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 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: cremation-clearance-info
....... 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 C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:authorizing-agent C 0..1 Reference(US Core RelatedPerson Profile) Individual authorizing cremation, often next-of-kin
...... entry:embalmed C 0..1 Reference(Observation - Embalmed) Was body embalmed?
...... entry:communicable-disease C 0..1 Reference(Observation - Communicable Disease) Did Decedent have a communicable disease?
...... entry:cause-of-death-certifier C 0..1 Reference(Death Certifier) Death Certificate certifier, often attending physician
...... entry:funeral-home C 0..1 Reference(Funeral Home) Funeral home
...... entry:mortician C 0..1 Reference(Mortician) Mortician
...... entry:crematorium C 0..1 Reference(Organization - Crematorium) Crematorium
..... 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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredFHIRDocumentTypeCodes
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:DecedentDemographics.codeexamplePattern: DecedentDemographics
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DecedentDemographics.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:DecedentDemographics.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:DecedentDemographics.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:DeathInvestigation.codeexamplePattern: DeathInvestigation
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DeathInvestigation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:DeathInvestigation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:DeathInvestigation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:DeathCertification.codeexamplePattern: DeathCertification
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DeathCertification.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:DeathCertification.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:DeathCertification.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:DecedentDisposition.codeexamplePattern: DecedentDisposition
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DecedentDisposition.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:DecedentDisposition.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:DecedentDisposition.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:Death-Certificate-data-review.codeexamplePattern: Death-Certificate-data-review
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:Death-Certificate-data-review.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:Death-Certificate-data-review.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:Death-Certificate-data-review.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:cremation-clearance-info.codeexamplePattern: cremation-clearance-info
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:cremation-clearance-info.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:cremation-clearance-info.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:cremation-clearance-info.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 1 element(3 nested mandatory 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 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 EDRS 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)
.... extension-death-certificate-status 0..* (Complex) Death Certificate workflow status
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
.... extension-cremation-clearance-status 0..1 CodeableConcept Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status
Binding: ValueSet - Cremation Clearance Status example (example)
.... extension-me-certification-affirmation 0..1 CodeableConcept Indicates whether the Medical Examiner certification has been affirmed or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation
Binding: ValueSet - Medical Examiner Certification Affirmation example (example)
.... extension-cremation-clearance-coroner 0..1 CodeableConcept Indicates whether the Cremation Clearance is a Coroner workflow or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
.... extension-cremation-clearance-signature 0..1 CodeableConcept Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature
Binding: ValueSet - Cremation Clearance Status example (example)
... subject 1..1 Reference(Decedent) Who and/or what the composition is about
... Slices for section 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... code 1..1 CodeableConcept Classification of section (recommended)
.... section:DecedentDemographics 0..1 BackboneElement DecedentDemographics section from VRDR Death Certificate Composition for review
..... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDemographics
..... Slices for entry 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Decedent 1..1 Reference(Decedent) Decedent
...... entry:Father 0..1 Reference(Decedent Father) DecedentFather
...... entry:Mother 0..1 Reference(Decedent Mother) DecedentMother
...... entry:Spouse 0..1 Reference(Decedent Spouse) DecedentSpouse
...... entry:Age 0..1 Reference(Decedent Age) DecedentAge
...... entry:BirthRecordID 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
...... entry:FetalDeathRecordID 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
...... entry:BirthRecordIDChild 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
...... entry:EducationLevel 0..1 Reference(Decedent Education Level) DecedentEducationLevel
...... entry:MilitaryService 0..1 Reference(Decedent Military Service) DecedentMilitaryService
...... entry:UsualWork 0..1 Reference(Decedent Usual Work) DecedentUsualWork
...... entry:EmergingIssues 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
...... entry:InputRaceAndEthnicity 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
.... section:DeathInvestigation 0..1 BackboneElement DeathInvestigation section from VRDR Death Certificate Composition for review
..... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathInvestigation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ExaminerContacted 0..1 Reference(Examiner Contacted) ExaminerContacted
...... entry:PregnancyStatus 0..1 Reference(Decedent Pregnancy) DecedentPregnancyStatus
...... entry:TobaccoUse 0..1 Reference(Tobacco Use Contributed To Death) TobaccoUse
...... entry:DeathLocation 0..1 Reference(Death Location) Death Location
...... entry:InjuryLocation 0..1 Reference(Injury Location) Injury Location
...... entry:InjuryIncident 0..1 Reference(Injury Incident) InjuryIncident
...... entry:Autopsy 0..1 Reference(Autopsy Performed Indicator) AutopsyPerformedIndicator
...... entry:DeathDate 0..1 Reference(Death Date) DeathDate
...... entry:SurgeryDate 0..1 Reference(Surgery Date) SurgeryDate
.... section:DeathCertification 0..1 BackboneElement DeathCertification section from VRDR Death Certificate Composition for review
..... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathCertification
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Certifier 0..1 Reference(Practitioner - Vital Records) Certifier
...... entry:DeathCertification 0..1 Reference(Death Certification Procedure) DeathCertification
...... entry:MannerOfDeath 0..1 Reference(Manner of Death) MannerOfDeath
...... entry:CauseOfDeathPart1 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
...... entry:CauseOfDeathPart2 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
.... section:DecedentDisposition 0..1 BackboneElement DecedentDisposition section from VRDR Death Certificate Composition for review
..... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDisposition
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:DispositionLocation 0..1 Reference(Disposition Location) DispositionLocation
...... entry:FuneralHome 0..1 Reference(Funeral Home) FuneralHome
...... entry:DispositionMethod 0..1 Reference(Decedent Disposition Method) DispositionMethod
...... entry:Mortician 0..1 Reference(Mortician) Mortician
.... section:Death-Certificate-data-review 0..1 BackboneElement Death Certificate Data Review Results Section
..... 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: Death-Certificate-data-review
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:med-info-quality-review 0..1 Reference(Observation - Medical Information Data Quality) Medical information data quality review status
...... entry:personal-info-quality-review 0..1 Reference(Observation - Personal Information Data Quality) Personal information data quality review status
.... section:cremation-clearance-info 0..1 BackboneElement Cremation Clearance information
..... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cremation-clearance-info
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:authorizing-agent 0..1 Reference(US Core RelatedPerson Profile) Individual authorizing cremation, often next-of-kin
...... entry:embalmed 0..1 Reference(Observation - Embalmed) Was body embalmed?
...... entry:communicable-disease 0..1 Reference(Observation - Communicable Disease) Did Decedent have a communicable disease?
...... entry:cause-of-death-certifier 0..1 Reference(Death Certifier) Death Certificate certifier, often attending physician
...... entry:funeral-home 0..1 Reference(Funeral Home) Funeral home
...... entry:mortician 0..1 Reference(Mortician) Mortician
...... entry:crematorium 0..1 Reference(Organization - Crematorium) Crematorium

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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension-tracking-numbers 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 EDRS 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)
.... extension-death-certificate-status 0..* (Complex) Death Certificate workflow status
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
.... extension-cremation-clearance-status 0..1 CodeableConcept Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status
Binding: ValueSet - Cremation Clearance Status example (example)
.... extension-me-certification-affirmation 0..1 CodeableConcept Indicates whether the Medical Examiner certification has been affirmed or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation
Binding: ValueSet - Medical Examiner Certification Affirmation example (example)
.... extension-cremation-clearance-coroner 0..1 CodeableConcept Indicates whether the Cremation Clearance is a Coroner workflow or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
.... extension-cremation-clearance-signature 0..1 CodeableConcept Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature
Binding: ValueSet - Cremation Clearance Status example (example)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

... subject Σ 1..1 Reference(Decedent) Who and/or what the composition is about
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the composition
... title Σ 1..1 string Human Readable name/title
... Slices for section C 0..* BackboneElement Composition is broken into sections
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... section:DecedentDemographics C 0..1 BackboneElement DecedentDemographics section from VRDR Death Certificate Composition for review
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDemographics
..... Slices for entry C 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Decedent C 1..1 Reference(Decedent) Decedent
...... entry:Father C 0..1 Reference(Decedent Father) DecedentFather
...... entry:Mother C 0..1 Reference(Decedent Mother) DecedentMother
...... entry:Spouse C 0..1 Reference(Decedent Spouse) DecedentSpouse
...... entry:Age C 0..1 Reference(Decedent Age) DecedentAge
...... entry:BirthRecordID C 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
...... entry:FetalDeathRecordID C 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
...... entry:BirthRecordIDChild C 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
...... entry:EducationLevel C 0..1 Reference(Decedent Education Level) DecedentEducationLevel
...... entry:MilitaryService C 0..1 Reference(Decedent Military Service) DecedentMilitaryService
...... entry:UsualWork C 0..1 Reference(Decedent Usual Work) DecedentUsualWork
...... entry:EmergingIssues C 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
...... entry:InputRaceAndEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
.... section:DeathInvestigation C 0..1 BackboneElement DeathInvestigation section from VRDR Death Certificate Composition for review
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathInvestigation
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ExaminerContacted C 0..1 Reference(Examiner Contacted) ExaminerContacted
...... entry:PregnancyStatus C 0..1 Reference(Decedent Pregnancy) DecedentPregnancyStatus
...... entry:TobaccoUse C 0..1 Reference(Tobacco Use Contributed To Death) TobaccoUse
...... entry:DeathLocation C 0..1 Reference(Death Location) Death Location
...... entry:InjuryLocation C 0..1 Reference(Injury Location) Injury Location
...... entry:InjuryIncident C 0..1 Reference(Injury Incident) InjuryIncident
...... entry:Autopsy C 0..1 Reference(Autopsy Performed Indicator) AutopsyPerformedIndicator
...... entry:DeathDate C 0..1 Reference(Death Date) DeathDate
...... entry:SurgeryDate C 0..1 Reference(Surgery Date) SurgeryDate
.... section:DeathCertification C 0..1 BackboneElement DeathCertification section from VRDR Death Certificate Composition for review
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathCertification
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Certifier C 0..1 Reference(Practitioner - Vital Records) Certifier
...... entry:DeathCertification C 0..1 Reference(Death Certification Procedure) DeathCertification
...... entry:MannerOfDeath C 0..1 Reference(Manner of Death) MannerOfDeath
...... entry:CauseOfDeathPart1 C 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
...... entry:CauseOfDeathPart2 C 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
.... section:DecedentDisposition C 0..1 BackboneElement DecedentDisposition section from VRDR Death Certificate Composition for review
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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/vrdr/CodeSystem/vrdr-document-section-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDisposition
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:DispositionLocation C 0..1 Reference(Disposition Location) DispositionLocation
...... entry:FuneralHome C 0..1 Reference(Funeral Home) FuneralHome
...... entry:DispositionMethod C 0..1 Reference(Decedent Disposition Method) DispositionMethod
...... entry:Mortician C 0..1 Reference(Mortician) Mortician
.... section:Death-Certificate-data-review C 0..1 BackboneElement Death Certificate Data Review Results Section
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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: Death-Certificate-data-review
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:med-info-quality-review C 0..1 Reference(Observation - Medical Information Data Quality) Medical information data quality review status
...... entry:personal-info-quality-review C 0..1 Reference(Observation - Personal Information Data Quality) Personal information data quality review status
.... section:cremation-clearance-info C 0..1 BackboneElement Cremation Clearance 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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... 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: cremation-clearance-info
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:authorizing-agent C 0..1 Reference(US Core RelatedPerson Profile) Individual authorizing cremation, often next-of-kin
...... entry:embalmed C 0..1 Reference(Observation - Embalmed) Was body embalmed?
...... entry:communicable-disease C 0..1 Reference(Observation - Communicable Disease) Did Decedent have a communicable disease?
...... entry:cause-of-death-certifier C 0..1 Reference(Death Certifier) Death Certificate certifier, often attending physician
...... entry:funeral-home C 0..1 Reference(Funeral Home) Funeral home
...... entry:mortician C 0..1 Reference(Mortician) Mortician
...... entry:crematorium C 0..1 Reference(Organization - Crematorium) Crematorium

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.typepreferredFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DecedentDemographics.codeexamplePattern: DecedentDemographics
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DeathInvestigation.codeexamplePattern: DeathInvestigation
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DeathCertification.codeexamplePattern: DeathCertification
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DecedentDisposition.codeexamplePattern: DecedentDisposition
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:Death-Certificate-data-review.codeexamplePattern: Death-Certificate-data-review
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:cremation-clearance-info.codeexamplePattern: cremation-clearance-info
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 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 EDRS 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)
.... extension-death-certificate-status 0..* (Complex) Death Certificate workflow status
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status
.... extension-cremation-clearance-status 0..1 CodeableConcept Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status
Binding: ValueSet - Cremation Clearance Status example (example)
.... extension-me-certification-affirmation 0..1 CodeableConcept Indicates whether the Medical Examiner certification has been affirmed or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation
Binding: ValueSet - Medical Examiner Certification Affirmation example (example)
.... extension-cremation-clearance-coroner 0..1 CodeableConcept Indicates whether the Cremation Clearance is a Coroner workflow or not
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner
.... extension-cremation-clearance-signature 0..1 CodeableConcept Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request.
URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature
Binding: ValueSet - Cremation Clearance Status example (example)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Version-independent identifier for the Composition
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ 1..1 Reference(Decedent) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the composition
... 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 0..* BackboneElement Attests to accuracy of composition
.... 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 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) 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 C 0..* BackboneElement Composition is broken into sections
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:DecedentDemographics C 0..1 BackboneElement DecedentDemographics section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDemographics
....... 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 C 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Decedent C 1..1 Reference(Decedent) Decedent
...... entry:Father C 0..1 Reference(Decedent Father) DecedentFather
...... entry:Mother C 0..1 Reference(Decedent Mother) DecedentMother
...... entry:Spouse C 0..1 Reference(Decedent Spouse) DecedentSpouse
...... entry:Age C 0..1 Reference(Decedent Age) DecedentAge
...... entry:BirthRecordID C 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
...... entry:FetalDeathRecordID C 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
...... entry:BirthRecordIDChild C 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
...... entry:EducationLevel C 0..1 Reference(Decedent Education Level) DecedentEducationLevel
...... entry:MilitaryService C 0..1 Reference(Decedent Military Service) DecedentMilitaryService
...... entry:UsualWork C 0..1 Reference(Decedent Usual Work) DecedentUsualWork
...... entry:EmergingIssues C 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
...... entry:InputRaceAndEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
..... 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:DeathInvestigation C 0..1 BackboneElement DeathInvestigation section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathInvestigation
....... 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 C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:ExaminerContacted C 0..1 Reference(Examiner Contacted) ExaminerContacted
...... entry:PregnancyStatus C 0..1 Reference(Decedent Pregnancy) DecedentPregnancyStatus
...... entry:TobaccoUse C 0..1 Reference(Tobacco Use Contributed To Death) TobaccoUse
...... entry:DeathLocation C 0..1 Reference(Death Location) Death Location
...... entry:InjuryLocation C 0..1 Reference(Injury Location) Injury Location
...... entry:InjuryIncident C 0..1 Reference(Injury Incident) InjuryIncident
...... entry:Autopsy C 0..1 Reference(Autopsy Performed Indicator) AutopsyPerformedIndicator
...... entry:DeathDate C 0..1 Reference(Death Date) DeathDate
...... entry:SurgeryDate C 0..1 Reference(Surgery Date) SurgeryDate
..... 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:DeathCertification C 0..1 BackboneElement DeathCertification section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DeathCertification
....... 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 C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:Certifier C 0..1 Reference(Practitioner - Vital Records) Certifier
...... entry:DeathCertification C 0..1 Reference(Death Certification Procedure) DeathCertification
...... entry:MannerOfDeath C 0..1 Reference(Manner of Death) MannerOfDeath
...... entry:CauseOfDeathPart1 C 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
...... entry:CauseOfDeathPart2 C 0..1 Reference(Cause of Death Part 2) CauseOfDeathPart2
..... 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:DecedentDisposition C 0..1 BackboneElement DecedentDisposition section from VRDR Death Certificate Composition for review
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/vrdr/CodeSystem/vrdr-document-section-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DecedentDisposition
....... 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 C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:DispositionLocation C 0..1 Reference(Disposition Location) DispositionLocation
...... entry:FuneralHome C 0..1 Reference(Funeral Home) FuneralHome
...... entry:DispositionMethod C 0..1 Reference(Decedent Disposition Method) DispositionMethod
...... entry:Mortician C 0..1 Reference(Mortician) Mortician
..... 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:Death-Certificate-data-review C 0..1 BackboneElement Death Certificate Data Review Results Section
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: Death-Certificate-data-review
....... 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 C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:med-info-quality-review C 0..1 Reference(Observation - Medical Information Data Quality) Medical information data quality review status
...... entry:personal-info-quality-review C 0..1 Reference(Observation - Personal Information Data Quality) Personal information data quality review status
..... 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:cremation-clearance-info C 0..1 BackboneElement Cremation Clearance 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 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: cremation-clearance-info
....... 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 C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:authorizing-agent C 0..1 Reference(US Core RelatedPerson Profile) Individual authorizing cremation, often next-of-kin
...... entry:embalmed C 0..1 Reference(Observation - Embalmed) Was body embalmed?
...... entry:communicable-disease C 0..1 Reference(Observation - Communicable Disease) Did Decedent have a communicable disease?
...... entry:cause-of-death-certifier C 0..1 Reference(Death Certifier) Death Certificate certifier, often attending physician
...... entry:funeral-home C 0..1 Reference(Funeral Home) Funeral home
...... entry:mortician C 0..1 Reference(Mortician) Mortician
...... entry:crematorium C 0..1 Reference(Organization - Crematorium) Crematorium
..... 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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredFHIRDocumentTypeCodes
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:DecedentDemographics.codeexamplePattern: DecedentDemographics
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DecedentDemographics.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:DecedentDemographics.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:DecedentDemographics.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:DeathInvestigation.codeexamplePattern: DeathInvestigation
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DeathInvestigation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:DeathInvestigation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:DeathInvestigation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:DeathCertification.codeexamplePattern: DeathCertification
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DeathCertification.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:DeathCertification.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:DeathCertification.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:DecedentDisposition.codeexamplePattern: DecedentDisposition
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:DecedentDisposition.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:DecedentDisposition.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:DecedentDisposition.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:Death-Certificate-data-review.codeexamplePattern: Death-Certificate-data-review
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:Death-Certificate-data-review.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:Death-Certificate-data-review.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:Death-Certificate-data-review.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:cremation-clearance-info.codeexamplePattern: cremation-clearance-info
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:cremation-clearance-info.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:cremation-clearance-info.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:cremation-clearance-info.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 1 element(3 nested mandatory 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