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

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

Resource Profile: Decedent Pregnancy

Official URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status Version: 3.0.0
Active as of 2025-01-10 Computable Name: DecedentPregnancyStatus
Other Identifiers: OID:2.16.840.1.113883.4.642.40.10.42.30

The Decedent Pregnancy Status profile (Observation) provides an indication of the pregnancy status of the decedent. This profile is designed to support VRDR and MDI

IJE Mapping

Mortality (Decedent)
Use Case # Description IJE Name Field Type Value Set/Comments
Mortality 112 Pregnancy PREG value codeable DeathPregnancyStatusVS
Mortality 113 If Female--Edit Flag: From EDR only PREG_BYPASS value.extension[BypassEditFlag].value codeable EditBypass012VS

Form Mapping

Form Mapping
Item # Form Field FHIR Profile Field Reference
36 Pregnancy Status value Certificate of Death

Usage:

Changes since version true:

  • New Content
  • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation Measurements and simple assertions
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.


    ele-1: All FHIR elements must have a @value or children
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 69442-2
    ... subject Σ 1..1 Reference(Patient - Vital Records) subject
    ele-1: All FHIR elements must have a @value or children
    ... value[x] ΣC 1..1 CodeableConcept Whether the decedent was pregnant at or around the time of death.
    Binding: Death Pregnancy Status ValueSet (required): A set of codes that reflect whether the decedent was pregnant at or around the time of death.


    ele-1: All FHIR elements must have a @value or children
    .... Slices for extension Content/Rules for all slices
    ..... bypassEditFlag 0..1 (Complex) BypassEditFlag Vital Records
    URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ...... extension 0..0
    ...... url 1..1 uri "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
    ...... value[x] 1..1 CodeableConcept Value of extension
    Binding: Edit Bypass 012 (required)
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.codeexamplePattern: LOINC Code 69442-2
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.value[x]requiredDeathPregnancyStatusVS
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-pregnancy-status-vs
    from this IG
    Observation.value[x].extension:bypassEditFlag.value[x]requiredEditBypass012VS
    http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-edit-bypass-012-vs
    from this IG

     

    Other representations of profile: CSV, Excel, Schematron