Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0 - STU3 US

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: Death Certificate

Official URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate Version: 3.0.0
Standards status: Draft Computable Name: DeathCertificate
Other Identifiers: OID:2.16.840.1.113883.4.642.40.10.42.20

The body of the death certificate document (Composition).

The Death Certificate profile is a composition referencing the core content of a death registration transmitted in the associated DeathCertificateDocument Bundle.

Notes:

  • The DeathCertificate is the first entry in the DeathCertificateDocument, and includes references to other entries in that Bundle.

Additional content can be included in the Death Certificate Document and should referenced in the Death Certificate based on standard resources and profiles. At present, standard USCore profiles can be used, and these are not cited in this Implementation Guide. For example:

  • Funeral Home Licensee (USCorePractitioner)
  • Funeral Home Director (USCorePractitioner)
  • Death Pronouncement Performer (USCorePractitioner)

The content is broken down into the following sections:

Note: For NCHS submissions the replacement record status (REPLACE) has been deprecated within the VRDR IG, and this field be ignored. The replacement status of a submission is now specified as a message parameter and described in the NCHS Vital Records Messaging IG.

IJE Mapping

Mortality (Decedent)
Use Case # Description IJE Name Field Type Value Set/Comments
Mortality 6 Source flag: paper/electronic MFILED extension[filingFormat] codeable FilingFormatVS
Mortality 96 Date of Registration--Year DOR_YR date dateTime -
Mortality 97 Date of Registration--Month DOR_MO date dateTime -
Mortality 98 Date of Registration--Day DOR_DY date dateTime -
Mortality 122 State Specific Data STATESP extension[stateSpecificField] string(30) -
Mortality 184 Replacement Record REPLACE (*deprecated*) extension[replaceStatus] codeable ReplaceStatusVS

Form Mapping

Form Mapping
Item # Form Field FHIR Profile Field Reference
50 For Registrar Only-Date Filed date Certificate of Death

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version true:

  • New Content

    • Formal Views of Profile Content

    Description Differentials, Snapshots, and other representations.

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. 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:filingFormat 0..1 CodeableConcept Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... extension:replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... extension:stateSpecificField 0..1 string State Specific Field
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
    ... 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.
    Required Pattern: At least the following
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ..... version 0..1 string Version of the system - if relevant
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 64297-5
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    .... text 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(Decedent) Who and/or what the composition is about
    ... date Σ 1..1 dateTime Date of Registration
    ... 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
    ... event Σ 1..1 BackboneElement The clinical service(s) being documented
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code Σ 1..1 CodeableConcept Code(s) that apply to the event being documented
    Binding: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding

    .... detail Σ 1..1 Reference(Death Certification Procedure) The event(s) being documented
    ... Slices for section C 0..* BackboneElement Composition is broken into sections
    Slice: Unordered, Open by pattern:code
    Constraints: cmp-1, cmp-2
    .... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    ..... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    ..... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    ..... 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(Part 2 Other Significant Conditions Contributing to Death) CauseOfDeathPart2
    .... section:DecedentDisposition C 0..1 BackboneElement DecedentDisposition
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    ..... 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:CodedContent C 0..1 BackboneElement CodedContent
    Constraints: cmp-1, cmp-2
    ..... 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.
    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: CodedContent
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 0..1 string Plain text representation of the concept
    ..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ActivityAtTimeOfDeath C 0..1 Reference(Activity at Time of Death) ActivityAtTimeOfDeath
    ...... entry:AutomatedUnderlyingCauseOfDeath C 0..1 Reference(Automated Underlying Cause Of Death) AutomatedUnderlyingCauseOfDeath
    ...... entry:ManualUnderlyingCauseOfDeath C 0..1 Reference(Manual Underlying Cause Of Death) ManualUnderlyingCauseOfDeath
    ...... entry:CodedRaceAndEthnicity C 0..1 Reference(Observation - Coded Race and Ethnicity Vital Records) CodedRaceAndEthnicity
    ...... entry:EntityAxisCauseOfDeath C 0..20 Reference(Entity Axis Cause Of Death) EntityAxisCauseOfDeath
    ...... entry:RecordAxisCauseOfDeath C 0..20 Reference(Record Axis Cause Of Death) RecordAxisCauseOfDeath
    ...... entry:PlaceOfInjury C 0..1 Reference(Place Of Injury) PlaceOfInjury
    ...... entry:CodingStatusValues C 0..1 Reference(Coding Status Values) CodingStatusValues

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Composition.status Base required CompositionStatus 📦4.0.1 FHIR Std.
    Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
    Composition.event.code Base preferred Event Code for Death Certificate Composition 📦3.0.0 This IG
    Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDemographics.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathInvestigation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathCertification.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDisposition.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:CodedContent.​code Base example Document Section Codes 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    cmp-1 error Composition.section, Composition.section:DecedentDemographics, Composition.section:DeathInvestigation, Composition.section:DeathCertification, Composition.section:DecedentDisposition, Composition.section:CodedContent A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
    cmp-2 error Composition.section, Composition.section:DecedentDemographics, Composition.section:DeathInvestigation, Composition.section:DeathCertification, Composition.section:DecedentDisposition, Composition.section:CodedContent A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
    dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Composition 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Composition Composition
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:filingFormat 0..1 CodeableConcept Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... extension:replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... extension:stateSpecificField 0..1 string State Specific Field
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
    ... status 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required)
    ... type 1..1 CodeableConcept Kind of composition (LOINC if possible)
    Required Pattern: At least the following
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 64297-5
    ... date 1..1 dateTime Date of Registration
    ... attester
    .... mode 1..1 code personal | professional | legal | official
    Fixed Value: legal
    .... party 0..1 Reference(Practitioner - Vital Records) Certifier.
    ... event 1..1 BackboneElement The clinical service(s) being documented
    .... code 1..1 CodeableConcept Code(s) that apply to the event being documented
    Binding: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding
    .... detail 1..1 Reference(Death Certification Procedure) The event(s) being documented
    ... Slices for section 0..* BackboneElement Composition is broken into sections
    Slice: Unordered, Open by pattern:code
    .... section:All Slices Content/Rules for all slices
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    .... section:DecedentDemographics 0..1 BackboneElement DecedentDemographics
    ..... code 1..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:$this.resolve()
    ...... entry:Decedent 1..1 Reference(Decedent) Decedent
    ...... entry:Father 0..1 Reference(Decedent Father) DecedentFather
    ...... entry:Mother 0..1 Reference(Decedent Mother) DecedentMother
    ...... entry:Spouse 0..1 Reference(Decedent Spouse) DecedentSpouse
    ...... entry:Age 0..1 Reference(Decedent Age) DecedentAge
    ...... entry:BirthRecordID 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
    ...... entry:FetalDeathRecordID 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
    ...... entry:BirthRecordIDChild 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
    ...... entry:EducationLevel 0..1 Reference(Decedent Education Level) DecedentEducationLevel
    ...... entry:MilitaryService 0..1 Reference(Decedent Military Service) DecedentMilitaryService
    ...... entry:UsualWork 0..1 Reference(Decedent Usual Work) DecedentUsualWork
    ...... entry:EmergingIssues 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
    ...... entry:InputRaceAndEthnicity 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
    .... section:DeathInvestigation 0..1 BackboneElement DeathInvestigation
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: DeathInvestigation
    ..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$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
    ..... code 1..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:$this.resolve()
    ...... entry:Certifier 0..1 Reference(Practitioner - Vital Records) Certifier
    ...... entry:DeathCertification 0..1 Reference(Death Certification Procedure) DeathCertification
    ...... entry:MannerOfDeath 0..1 Reference(Manner of Death) MannerOfDeath
    ...... entry:CauseOfDeathPart1 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
    ...... entry:CauseOfDeathPart2 0..1 Reference(Part 2 Other Significant Conditions Contributing to Death) CauseOfDeathPart2
    .... section:DecedentDisposition 0..1 BackboneElement DecedentDisposition
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: DecedentDisposition
    ..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$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:CodedContent 0..1 BackboneElement CodedContent
    ..... code 1..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: CodedContent
    ..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ActivityAtTimeOfDeath 0..1 Reference(Activity at Time of Death) ActivityAtTimeOfDeath
    ...... entry:AutomatedUnderlyingCauseOfDeath 0..1 Reference(Automated Underlying Cause Of Death) AutomatedUnderlyingCauseOfDeath
    ...... entry:ManualUnderlyingCauseOfDeath 0..1 Reference(Manual Underlying Cause Of Death) ManualUnderlyingCauseOfDeath
    ...... entry:CodedRaceAndEthnicity 0..1 Reference(Observation - Coded Race and Ethnicity Vital Records) CodedRaceAndEthnicity
    ...... entry:EntityAxisCauseOfDeath 0..20 Reference(Entity Axis Cause Of Death) EntityAxisCauseOfDeath
    ...... entry:RecordAxisCauseOfDeath 0..20 Reference(Record Axis Cause Of Death) RecordAxisCauseOfDeath
    ...... entry:PlaceOfInjury 0..1 Reference(Place Of Injury) PlaceOfInjury
    ...... entry:CodingStatusValues 0..1 Reference(Coding Status Values) CodingStatusValues

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Composition.status Base required CompositionStatus 📦4.0.1 FHIR Std.
    Composition.event.code Base preferred Event Code for Death Certificate Composition 📦3.0.0 This IG
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. 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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:filingFormat 0..1 CodeableConcept Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... extension:replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... extension:stateSpecificField 0..1 string State Specific Field
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
    ... 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)
    ... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
    Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
    Required Pattern: At least the following
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ..... version 0..1 string Version of the system - if relevant
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 64297-5
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    .... text 0..1 string Plain text representation of the concept
    ... category Σ 0..* CodeableConcept Categorization of Composition
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    ... subject 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 Date of Registration
    ... 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.
    Fixed Value: legal
    .... time 0..1 dateTime When the composition was attested
    .... party 0..1 Reference(Practitioner - Vital Records) Certifier.
    ... 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 1..1 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 1..1 CodeableConcept Code(s) that apply to the event being documented
    Binding: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding

    .... period Σ 0..1 Period The period covered by the documentation
    .... detail Σ 1..1 Reference(Death Certification Procedure) The event(s) being documented
    ... Slices for section C 0..* BackboneElement Composition is broken into sections
    Slice: Unordered, Open by pattern:code
    Constraints: cmp-1, cmp-2
    .... 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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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(Part 2 Other Significant Conditions Contributing to Death) 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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:CodedContent C 0..1 BackboneElement CodedContent
    Constraints: cmp-1, cmp-2
    ..... 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.
    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: CodedContent
    ....... 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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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:ActivityAtTimeOfDeath C 0..1 Reference(Activity at Time of Death) ActivityAtTimeOfDeath
    ...... entry:AutomatedUnderlyingCauseOfDeath C 0..1 Reference(Automated Underlying Cause Of Death) AutomatedUnderlyingCauseOfDeath
    ...... entry:ManualUnderlyingCauseOfDeath C 0..1 Reference(Manual Underlying Cause Of Death) ManualUnderlyingCauseOfDeath
    ...... entry:CodedRaceAndEthnicity C 0..1 Reference(Observation - Coded Race and Ethnicity Vital Records) CodedRaceAndEthnicity
    ...... entry:EntityAxisCauseOfDeath C 0..20 Reference(Entity Axis Cause Of Death) EntityAxisCauseOfDeath
    ...... entry:RecordAxisCauseOfDeath C 0..20 Reference(Record Axis Cause Of Death) RecordAxisCauseOfDeath
    ...... entry:PlaceOfInjury C 0..1 Reference(Place Of Injury) PlaceOfInjury
    ...... entry:CodingStatusValues C 0..1 Reference(Coding Status Values) CodingStatusValues
    ..... 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

    Path Status Usage ValueSet Version Source
    Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
    Composition.status Base required CompositionStatus 📦4.0.1 FHIR Std.
    Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
    Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
    Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
    Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
    Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
    Composition.event.code Base preferred Event Code for Death Certificate Composition 📦3.0.0 This IG
    Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
    Composition.section:DecedentDemographics.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDemographics.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section:DecedentDemographics.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDemographics.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
    Composition.section:DeathInvestigation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathInvestigation.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section:DeathInvestigation.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathInvestigation.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
    Composition.section:DeathCertification.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathCertification.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section:DeathCertification.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathCertification.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
    Composition.section:DecedentDisposition.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDisposition.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section:DecedentDisposition.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDisposition.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
    Composition.section:CodedContent.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:CodedContent.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section:CodedContent.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section:CodedContent.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    cmp-1 error Composition.section, Composition.section:DecedentDemographics, Composition.section:DeathInvestigation, Composition.section:DeathCertification, Composition.section:DecedentDisposition, Composition.section:CodedContent A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
    cmp-2 error Composition.section, Composition.section:DecedentDemographics, Composition.section:DeathInvestigation, Composition.section:DeathCertification, Composition.section:DecedentDisposition, Composition.section:CodedContent A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
    dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Composition 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    Summary

    Mandatory: 4 elements(3 nested mandatory elements)
    Fixed: 1 element

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Composition.section
    • The element 1 is sliced based on the value of Composition.section.entry

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. 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:filingFormat 0..1 CodeableConcept Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... extension:replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... extension:stateSpecificField 0..1 string State Specific Field
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
    ... 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.
    Required Pattern: At least the following
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ..... version 0..1 string Version of the system - if relevant
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 64297-5
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    .... text 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(Decedent) Who and/or what the composition is about
    ... date Σ 1..1 dateTime Date of Registration
    ... 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
    ... event Σ 1..1 BackboneElement The clinical service(s) being documented
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code Σ 1..1 CodeableConcept Code(s) that apply to the event being documented
    Binding: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding

    .... detail Σ 1..1 Reference(Death Certification Procedure) The event(s) being documented
    ... Slices for section C 0..* BackboneElement Composition is broken into sections
    Slice: Unordered, Open by pattern:code
    Constraints: cmp-1, cmp-2
    .... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    ..... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    ..... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    ..... 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(Part 2 Other Significant Conditions Contributing to Death) CauseOfDeathPart2
    .... section:DecedentDisposition C 0..1 BackboneElement DecedentDisposition
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    ..... 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:CodedContent C 0..1 BackboneElement CodedContent
    Constraints: cmp-1, cmp-2
    ..... 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.
    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: CodedContent
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 0..1 string Plain text representation of the concept
    ..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ActivityAtTimeOfDeath C 0..1 Reference(Activity at Time of Death) ActivityAtTimeOfDeath
    ...... entry:AutomatedUnderlyingCauseOfDeath C 0..1 Reference(Automated Underlying Cause Of Death) AutomatedUnderlyingCauseOfDeath
    ...... entry:ManualUnderlyingCauseOfDeath C 0..1 Reference(Manual Underlying Cause Of Death) ManualUnderlyingCauseOfDeath
    ...... entry:CodedRaceAndEthnicity C 0..1 Reference(Observation - Coded Race and Ethnicity Vital Records) CodedRaceAndEthnicity
    ...... entry:EntityAxisCauseOfDeath C 0..20 Reference(Entity Axis Cause Of Death) EntityAxisCauseOfDeath
    ...... entry:RecordAxisCauseOfDeath C 0..20 Reference(Record Axis Cause Of Death) RecordAxisCauseOfDeath
    ...... entry:PlaceOfInjury C 0..1 Reference(Place Of Injury) PlaceOfInjury
    ...... entry:CodingStatusValues C 0..1 Reference(Coding Status Values) CodingStatusValues

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Composition.status Base required CompositionStatus 📦4.0.1 FHIR Std.
    Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
    Composition.event.code Base preferred Event Code for Death Certificate Composition 📦3.0.0 This IG
    Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDemographics.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathInvestigation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathCertification.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDisposition.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:CodedContent.​code Base example Document Section Codes 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    cmp-1 error Composition.section, Composition.section:DecedentDemographics, Composition.section:DeathInvestigation, Composition.section:DeathCertification, Composition.section:DecedentDisposition, Composition.section:CodedContent A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
    cmp-2 error Composition.section, Composition.section:DecedentDemographics, Composition.section:DeathInvestigation, Composition.section:DeathCertification, Composition.section:DecedentDisposition, Composition.section:CodedContent A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
    dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Composition 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    Differential View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Composition Composition
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:filingFormat 0..1 CodeableConcept Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... extension:replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... extension:stateSpecificField 0..1 string State Specific Field
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
    ... status 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required)
    ... type 1..1 CodeableConcept Kind of composition (LOINC if possible)
    Required Pattern: At least the following
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 64297-5
    ... date 1..1 dateTime Date of Registration
    ... attester
    .... mode 1..1 code personal | professional | legal | official
    Fixed Value: legal
    .... party 0..1 Reference(Practitioner - Vital Records) Certifier.
    ... event 1..1 BackboneElement The clinical service(s) being documented
    .... code 1..1 CodeableConcept Code(s) that apply to the event being documented
    Binding: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding
    .... detail 1..1 Reference(Death Certification Procedure) The event(s) being documented
    ... Slices for section 0..* BackboneElement Composition is broken into sections
    Slice: Unordered, Open by pattern:code
    .... section:All Slices Content/Rules for all slices
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    .... section:DecedentDemographics 0..1 BackboneElement DecedentDemographics
    ..... code 1..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:$this.resolve()
    ...... entry:Decedent 1..1 Reference(Decedent) Decedent
    ...... entry:Father 0..1 Reference(Decedent Father) DecedentFather
    ...... entry:Mother 0..1 Reference(Decedent Mother) DecedentMother
    ...... entry:Spouse 0..1 Reference(Decedent Spouse) DecedentSpouse
    ...... entry:Age 0..1 Reference(Decedent Age) DecedentAge
    ...... entry:BirthRecordID 0..1 Reference(Birth Record Identifier Infant) BirthRecordIdentifier
    ...... entry:FetalDeathRecordID 0..1 Reference(Fetal Death Record Identifier) FetalDeathRecordIdentifier
    ...... entry:BirthRecordIDChild 0..1 Reference(Birth Record Identifier Child) BirthRecordIdentifierChild
    ...... entry:EducationLevel 0..1 Reference(Decedent Education Level) DecedentEducationLevel
    ...... entry:MilitaryService 0..1 Reference(Decedent Military Service) DecedentMilitaryService
    ...... entry:UsualWork 0..1 Reference(Decedent Usual Work) DecedentUsualWork
    ...... entry:EmergingIssues 0..1 Reference(Observation - Emerging Issues Vital Records) EmergingIssues
    ...... entry:InputRaceAndEthnicity 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) InputRaceAndEthnicity
    .... section:DeathInvestigation 0..1 BackboneElement DeathInvestigation
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: DeathInvestigation
    ..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$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
    ..... code 1..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:$this.resolve()
    ...... entry:Certifier 0..1 Reference(Practitioner - Vital Records) Certifier
    ...... entry:DeathCertification 0..1 Reference(Death Certification Procedure) DeathCertification
    ...... entry:MannerOfDeath 0..1 Reference(Manner of Death) MannerOfDeath
    ...... entry:CauseOfDeathPart1 0..4 Reference(Cause Of Death Part 1) CauseOfDeathPart1
    ...... entry:CauseOfDeathPart2 0..1 Reference(Part 2 Other Significant Conditions Contributing to Death) CauseOfDeathPart2
    .... section:DecedentDisposition 0..1 BackboneElement DecedentDisposition
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: DecedentDisposition
    ..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$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:CodedContent 0..1 BackboneElement CodedContent
    ..... code 1..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: CodedContent
    ..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
    Slice: Unordered, Open by profile:$this.resolve()
    ...... entry:ActivityAtTimeOfDeath 0..1 Reference(Activity at Time of Death) ActivityAtTimeOfDeath
    ...... entry:AutomatedUnderlyingCauseOfDeath 0..1 Reference(Automated Underlying Cause Of Death) AutomatedUnderlyingCauseOfDeath
    ...... entry:ManualUnderlyingCauseOfDeath 0..1 Reference(Manual Underlying Cause Of Death) ManualUnderlyingCauseOfDeath
    ...... entry:CodedRaceAndEthnicity 0..1 Reference(Observation - Coded Race and Ethnicity Vital Records) CodedRaceAndEthnicity
    ...... entry:EntityAxisCauseOfDeath 0..20 Reference(Entity Axis Cause Of Death) EntityAxisCauseOfDeath
    ...... entry:RecordAxisCauseOfDeath 0..20 Reference(Record Axis Cause Of Death) RecordAxisCauseOfDeath
    ...... entry:PlaceOfInjury 0..1 Reference(Place Of Injury) PlaceOfInjury
    ...... entry:CodingStatusValues 0..1 Reference(Coding Status Values) CodingStatusValues

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Composition.status Base required CompositionStatus 📦4.0.1 FHIR Std.
    Composition.event.code Base preferred Event Code for Death Certificate Composition 📦3.0.0 This IG

    Snapshot ViewView

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. 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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:filingFormat 0..1 CodeableConcept Filing Format
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    Binding: Filing Format ValueSet (required)
    .... extension:replaceStatus 0..1 CodeableConcept Replace Status (deprecated)
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    Binding: Replacement Status ValueSet (required)
    .... extension:stateSpecificField 0..1 string State Specific Field
    URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
    ... 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)
    ... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
    Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
    Required Pattern: At least the following
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ..... version 0..1 string Version of the system - if relevant
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 64297-5
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    .... text 0..1 string Plain text representation of the concept
    ... category Σ 0..* CodeableConcept Categorization of Composition
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    ... subject 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 Date of Registration
    ... 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.
    Fixed Value: legal
    .... time 0..1 dateTime When the composition was attested
    .... party 0..1 Reference(Practitioner - Vital Records) Certifier.
    ... 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 1..1 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 1..1 CodeableConcept Code(s) that apply to the event being documented
    Binding: Event Code for Death Certificate Composition (preferred)
    Additional BindingsPurpose
    Event Code for Death Certificate Composition - Max Max Binding

    .... period Σ 0..1 Period The period covered by the documentation
    .... detail Σ 1..1 Reference(Death Certification Procedure) The event(s) being documented
    ... Slices for section C 0..* BackboneElement Composition is broken into sections
    Slice: Unordered, Open by pattern:code
    Constraints: cmp-1, cmp-2
    .... 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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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(Part 2 Other Significant Conditions Contributing to Death) 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
    Constraints: cmp-1, cmp-2
    ..... 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.
    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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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:CodedContent C 0..1 BackboneElement CodedContent
    Constraints: cmp-1, cmp-2
    ..... 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.
    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: CodedContent
    ....... 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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... 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:ActivityAtTimeOfDeath C 0..1 Reference(Activity at Time of Death) ActivityAtTimeOfDeath
    ...... entry:AutomatedUnderlyingCauseOfDeath C 0..1 Reference(Automated Underlying Cause Of Death) AutomatedUnderlyingCauseOfDeath
    ...... entry:ManualUnderlyingCauseOfDeath C 0..1 Reference(Manual Underlying Cause Of Death) ManualUnderlyingCauseOfDeath
    ...... entry:CodedRaceAndEthnicity C 0..1 Reference(Observation - Coded Race and Ethnicity Vital Records) CodedRaceAndEthnicity
    ...... entry:EntityAxisCauseOfDeath C 0..20 Reference(Entity Axis Cause Of Death) EntityAxisCauseOfDeath
    ...... entry:RecordAxisCauseOfDeath C 0..20 Reference(Record Axis Cause Of Death) RecordAxisCauseOfDeath
    ...... entry:PlaceOfInjury C 0..1 Reference(Place Of Injury) PlaceOfInjury
    ...... entry:CodingStatusValues C 0..1 Reference(Coding Status Values) CodingStatusValues
    ..... 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

    Path Status Usage ValueSet Version Source
    Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
    Composition.status Base required CompositionStatus 📦4.0.1 FHIR Std.
    Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
    Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
    Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
    Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
    Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
    Composition.event.code Base preferred Event Code for Death Certificate Composition 📦3.0.0 This IG
    Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
    Composition.section:DecedentDemographics.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDemographics.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section:DecedentDemographics.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDemographics.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
    Composition.section:DeathInvestigation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathInvestigation.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section:DeathInvestigation.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathInvestigation.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
    Composition.section:DeathCertification.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathCertification.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section:DeathCertification.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section:DeathCertification.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
    Composition.section:DecedentDisposition.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDisposition.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section:DecedentDisposition.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section:DecedentDisposition.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
    Composition.section:CodedContent.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
    Composition.section:CodedContent.​mode Base required ListMode 📍4.0.1 FHIR Std.
    Composition.section:CodedContent.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
    Composition.section:CodedContent.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    cmp-1 error Composition.section, Composition.section:DecedentDemographics, Composition.section:DeathInvestigation, Composition.section:DeathCertification, Composition.section:DecedentDisposition, Composition.section:CodedContent A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
    cmp-2 error Composition.section, Composition.section:DecedentDemographics, Composition.section:DeathInvestigation, Composition.section:DeathCertification, Composition.section:DecedentDisposition, Composition.section:CodedContent A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
    dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Composition 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    Summary

    Mandatory: 4 elements(3 nested mandatory elements)
    Fixed: 1 element

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Composition.section
    • The element 1 is sliced based on the value of Composition.section.entry

     

    Other representations of profile: CSV, Excel, Schematron